Motivational factors predict quit attempts but not maintenance of smoking cessation: Findings from the International Tobacco Control Four country project
Motivational factors predict quit attempts but not maintenance of smoking cessation: Findings from the International Tobacco Control Four country project
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DOI：
10.1093/ntr/ntq050
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发表时间：
2010-10-01
影响因子：
4.7
通讯作者：
Fong, Geoffrey T.
中科院分区：
文献类型：
--
作者：
Borland, Ron;Yong, Hua-Hie;Fong, Geoffrey T.
探讨戒烟动机的测量方法是否与戒烟尝试和戒烟尝试的维持有不同的预测关系。数据来自国际烟草控制四期国家项目的三次波对波转换。吸烟者在某一阶段的反应被用来预测尝试戒烟的可能性，而那些试图在下一阶段保持至少一个月戒烟的可能性。对于这两个结果，分层逻辑回归用于探索戒烟动机的七种措施的预测能力，控制一系列其他已知或可能的预测因素。双变量分析表明，戒烟动机的测量可以预测戒烟尝试，但它们可以预测那些尝试戒烟的人的复发。多变量分析发现，想要戒烟和过早戒烟的频率是尝试戒烟的主要积极预测因素，但这一因素因戒烟的意图和最近一次尝试而降低。对于维持，过早退出是预测复发的主要动机变量，基本上不受其他措施的影响。研究结果表明，认为一个人只要有戒烟的动力就能戒烟的观点是错误的。现实情况是，一个人需要被激励去迅速采取行动戒烟，但这本身并不足以确保戒烟得以维持。这些发现提醒人们注意了解戒烟前和戒烟后经历在戒烟过程中所起的不同作用的重要性，以及为吸烟者提供戒烟帮助的重要性。
To explore whether measures of motivation to quit smoking have different predictive relationships with making quit attempts and the maintenance of those attempts.Data are from three wave-to-wave transitions of the International Tobacco Control Four (ITC-4) country project. Smokers' responses at one wave were used to predict the likelihood of making an attempt and among those trying the likelihood of maintaining an attempt for at least a month at the next wave. For both outcomes, hierarchical logistic regressions were used to explore the predictive capacity of seven measures of motivation to quit smoking, controlling for a range of other known or possible predictors.Bivariate analyses indicate that measures of motivation to quit are predictive of making quit attempts, but they predict relapse among those making attempts. Multivariate analyses identified wanting to quit and frequency of prematurely butting out cigarettes as the main positive predictors of making attempts, but this was reduced by intention and recency of last attempt. For maintenance, premature butting out was the main motivation variable predicting relapse and was essentially unaffected by other measures.The findings show that it is wrong to suggest that all one needs to quit is to be motivated to do so. The reality is that one needs to be motivated to prompt action to stop smoking, but this is not sufficient in and of itself to ensure that cessation is maintained. These findings call attention to the importance of understanding the differential roles that prequit and postquit experiences play in smoking cessation and of providing help to smokers to stay off cigarettes.