Motivational factors predict quit attempts but not maintenance of smokingcessation: Findings from the International Tobacco Control Four Country Project

Authors borland, R., Yong, H.-H., Balmford, J., Cooper, J., Cummings, K. M., O’Connor, R. J., et al.
Date January, 10, 2011
Publication Link Nicotine Tob Res. 2010 Oct;12 Suppl:S4-11
http://www.ncbi.nlm.nih.gov/pubmed/20889479
Research Category Cessation, Behavior
Country 4-country
Citation Borland, R., Yong, H.-H., Balmford, J., Cooper, J., Cummings, K. M., O’Connor, R. J., et al.(2010). Motivational factors predict quit attempts but not maintenance of smokingcessation: Findings from the International Tobacco Control Four Country Project. Nicotine& Tobacco Research, 12(Suppl1), S4-S11.
PDF Link
Abstract VicHealth Centre for Tobacco Control, The Cancer Council Victoria, Victoria, Australia. ron.borland@cancervic.org.au
Abstract
AIM: To explore whether measures of motivation to quit smoking have different predictive relationships with making quit attempts and the maintenance of those attempts.METHODS: 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.RESULTS: 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.DISCUSSION: 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.

Posted on January 10, 2011, in Balmford, R Papers, Borland, Ron Papers, Cessation - Research, Cooper, J -Papers, Fong, Geoffrey papers, McNeill, Ann - Papers, Recent peer reviewed papers, Smoking Behaviors- Research, Yong, H - Papers, Zanna, M.P. - Papers. Bookmark the permalink. Comments Off on Motivational factors predict quit attempts but not maintenance of smokingcessation: Findings from the International Tobacco Control Four Country Project.

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