Predicting Smoking Lapses in the First Week of Quitting: An Ecological Momentary Assessment Study
Predicting Smoking Lapses in the First Week of Quitting: An Ecological Momentary Assessment Study
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DOI：
10.1097/adm.0000000000000365
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发表时间：
2018-01-01
影响因子：
5.5
通讯作者：
Jacobs, Nele
中科院分区：
文献类型：
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作者：
Bolman, Catherine;Verboon, Peter;Jacobs, Nele
目的：本研究关注尝试戒烟后不久的失败。生态瞬时评估（EMA）研究已经绘制了导致日常生活失误的实时情境因素。然而，在日常生活的动态背景下，不吸烟意图的可能作用被忽视，而意图在戒烟过程中的行为变化和转变中起着关键作用。因此，本研究的目的是捕捉的意图对失误的影响，旁边的负面影响，自我效能感低，渴望，积极的结果期望吸烟（POE），周围的吸烟者，和压力的已知风险因素。据推测，这些因素的分数在白天发生变化，特别是在戒烟后不久，这可能会导致失误。基于行为解释模型，本文假设意向在上述因素对戒烟失败的影响中起中介作用。方法：对49名戒烟者在戒烟第一周进行了EMA研究。广义线性混合模型回归分析显示，低不吸烟的意图，低自我效能，并在吸烟者周围（估计值分别为-0.303、-0.331和2.083）预测失效。不吸烟意向部分中介了自我效能感对失误的影响。不吸烟的意图是预测不周围的吸烟者，高自我效能，和低POEs（估计分别为-0.353，0.293，和-0.072）。结论：这个小规模的EMA研究证实了不吸烟的意图失效的重要性，旁边的自我效能和周围的吸烟者。它增加了洞察力的中介作用的意图之间的关系自我效能和失误，到不吸烟的意图的预测。
Objectives: This study focused on lapse shortly after an attempt to quit smoking. Ecological momentary assessment (EMA) studies have mapped real-time situational factors that induce lapses in everyday life. However, the possible role of nonsmoking intention is disregarded in the dynamic context of daily life, whereas intention plays a key role in behavior change and shifts during smoking cessation. This study therefore aimed to capture the influence of intention on lapse, next to the known risk factors of negative affect, low self-efficacy, craving, positive outcome expectations towards smoking (POEs), being around smokers, and stress. It is hypothesized that scores on these factors shift during the day, especially shortly after quitting, which may induce lapse. Based on behavioral explanation models, intention is hypothesized to mediate the influence of the mentioned factors on lapse.Methods: An EMA study was conducted among 49 self-quitters in the first week of smoking cessation.Results: Generalized Linear Mixed Model regression analyses revealed that low nonsmoking intentions, low self-efficacy, and being around smokers (estimates were, respectively, -0.303, -0.331, and 2.083) predicted lapse. Nonsmoking intention partially mediated the influence of self-efficacy on lapse. Nonsmoking intention was predicted by not being around smokers, high self-efficacy, and low POEs (estimates were, respectively, -0.353, 0.293, and -0.072).Conclusions: This small-scale EMA study confirms the importance of nonsmoking intention on lapse, next to self-efficacy and being around smokers. It adds insights into the mediating role of intention on the relationship between self-efficacy and lapse, and into the predictors of nonsmoking intention.