Self-determination theory and the smoking cessation process: Daily electronic self-reports can identify the initiation of quit attempts.

Self-determination theory and the smoking cessation process: Daily electronic self-reports can identify the initiation of quit attempts.
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自我决定理论和戒烟过程:每日电子自我报告可以识别戒烟尝试的开始。

DOI:
10.1016/j.pec.2023.107886
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发表时间:
2023
影响因子:
3.5
通讯作者:
Williams,GeoffreyC
Williams,GeoffreyC
中科院分区:
医学2区
文献类型:
--
作者:
Niemiec,ChristopherP;Ivarsson,Andreas;Weman,Karin;Smit,Eline;Williams,GeoffreyC

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ObjectivesTo examine the motivational predictors of the smoking caution process at the between-persons and within-persons levels.MethodsMediation analyses were carried on self-report data(N = 236)that were collected using interval contingent sampling over a 39-daystudy period.ResultsThere was a high rate of attraction,as nearly 50% of participants were lost to follow.自主性自我调节通过知觉能力和药物使用对次日吸烟行为和7天戒烟行为有可信的间接影响。在人与人之间的水平上,这些模型解释了第二天吸烟行为的17%的方差和七天戒烟的31%的方差;在人的水平,这些估计分别为39%和57%.ConclusionsDay-to-day的变化,自主自我调节,感知能力,和药物的使用是戒烟过程的重要发起人。实践的影响吸烟者可能更有可能作出戒烟尝试,如果从业者“调整到”每天到-他们的病人戒烟动机的一天波动,也许使用电子平台来评估和比较吸烟者的当前报告与他们以前的经验。这种“动机协调”可以为医生提供一个机会,当患者愿意并能够开始戒烟尝试时提供所需的支持。
ObjectivesTo examine the motivational predictors of the smoking cessation process at the between-persons and within-persons levels.MethodsMediation analyses were conducted on self-report data (N = 236) that were collected using interval contingent sampling over a 39-day study period.ResultsThere was a high rate of attrition, as nearly 50% of participants were lost to follow-up. There were credible indirect effects of autonomous self-regulation on smoking behavior on the next day and seven-day abstinence through perceived competence and medication use. At the between-persons level, these models explained 17% of the variance in smoking behavior on the next day and 31% of the variance in seven-day abstinence; at the within-persons level, these estimates were 39% and 57%, respectively.ConclusionsDay-to-day changes in autonomous self-regulation, perceived competence, and medication use are important initiators of the smoking cessation process.Practice implicationsSmokers might be more likely to make a quit attempt if practitioners “tune into” the day-to-day fluctuations of their patients’ motivation for stopping smoking, perhaps using an electronic platform to assess and compare smokers’ current reports to their previous experiences. Such “motivational attunement” can afford practitioners an opportunity to provide need support when patients are willing and able to initiate a quit attempt.