Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?

C J Segan; R Borland; Ken Greenwood

doi:10.1016/j.addbeh.2005.05.023

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Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?

Journal article

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Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?

C J Segan, R Borland and Ken Greenwood

Addictive Behaviors, Vol.31(3), pp.414-428

2006

DOI: https://doi.org/10.1016/j.addbeh.2005.05.023

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Abstract

relapse prevention

transtheoretical model

smoking cessation

stages of change

processes of change

This study explored whether transtheoretical model (TTM) measures could predict relapse from the action stage, i.e., during the first 6 months of smoking cessation. Predictors of relapse were examined between time 2 (3-month) and time 3 (6-month) assessments (n = 247), and also between time 3 (6-month) and time 4 (12-month) assessments (n = 204). Consistent predictors of relapse included lower self-efficacy and determination to quit and higher temptations to smoke. Some predictors of relapse changed according to how long a person had already been quit for. Contrary to the TTM, greater behavioral change process use predicted relapse among people who had already quit for less than a month, and did not prevent relapse among those who had already quit for a month or more between time 2 and time 3. Cross-sectional analyses showed significant decreases in temptations to smoke and in the use of some of the change processes, which stabilised at about 1 month post-cessation. The findings suggest that there may be a stage boundary at around 1 month post-cessation, and question the homogeneity, and hence validity, of the TTM-defined action stage of change. © 2005 Elsevier Ltd. All rights reserved.

Details

Title: Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?
Authors: C J Segan (Author) - VicHealth Centre for Tobacco Control
R Borland (Author) - VicHealth Centre for Tobacco Control
Ken Greenwood (Author) - La Trobe University
Publication details: Addictive Behaviors, Vol.31(3), pp.414-428
Publisher: Pergamon
Date published: 2006
DOI: 10.1016/j.addbeh.2005.05.023
ISSN: 0306-4603
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99450576902621
Output Type: Journal article

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