Stage of change, decisional balance, and temptations for smoking - Measurement and validation in a large, school-based population of adolescents

Stage of change, decisional balance, and temptations for smoking - Measurement and validation in a large, school-based population of adolescents
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DOI:
10.1016/s0306-4603(00)00144-1
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发表时间:
2001-07-01
影响因子:
4.4
通讯作者:
Meier, KS
Meier, KS
中科院分区:
医学2区
文献类型:
--
作者:
Plummer, BA;Velicer, WF;Meier, KS

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基于跨理论模型 (TTM) 制定降低青少年吸烟率的干预措施需要制定模型关键结构的质量衡量标准。这项调查的目的是评估吸烟者和非吸烟者的变化阶段、决策平衡和情境诱惑测量的心理测量特性,并测试这些结构之间的预测关系是否在大量 (N=2808) 青少年样本中得到证实。相关三因素模型(社交优点、应对优点和缺点)非常适合吸烟者 (CFI=0.957) 和非吸烟者 (CFI=0.963) 的 12 项决策平衡清单,分层四因素模型(负面影响、积极社交、习惯强度和体重控制)非常适合吸烟者 (CFI=0.969) 的八项情境诱惑清单,分层五因素模型(与吸烟者相同的四因素加上好奇心)非常适合非吸烟者的 10 项情景诱惑清单(CFI = 0.943),吸烟者和非吸烟者的决策平衡和诱惑量表以及变化阶段之间的关系都得到了验证。针对青少年的措施与针对成人的这些结构的措施相似但不相同。 (C) 2001 Elsevier Science Ltd. 保留所有权利。
Developing interventions for reducing adolescent smoking rates based on the Transtheoretical Model (TTM) requires the development of quality measures of the key constructs of the model. The goal of this investigation was to evaluate the psychometric properties of measures of Stage of Change, Decisional Balance and Situational Temptation for both smokers and nonsmokers and to test if the predicted relationships between these constructs were confirmed in a large (N=2808) sample of adolescents. A correlated three factor model (Social Pros, Coping Pros and Cons) provided an excellent fit to the 12-item Decisional Balance inventory far both smokers (CFI=0.957) and nonsmokers (CFI=0.963), A hierarchical four factor model (negative affect, positive social, habit strength and weight control) provided an excellent fit to the eight-item Situational Temptations inventory for smokers (CFI=0.969), A hierarchical five-factor model (same four as smokers plus Curiosity) provided an excellent fit to the 10-item Situational Temptations inventory for nonsmokers (CFI = 0.943), The relationships between both the Decisional Balance and temptation scales and the Stages of Change were verified for both smokers and nonsmokers. The measures for adolescents are similar to but not the same as the measures of these constructs: for adults. (C) 2001 Elsevier Science Ltd. All rights reserved.