Do Transtheoretical Model Measures Predict the Transition from Preparation to Action in Smoking Cessation?

Testing the Transtheoretical Model in Predicting Smoking Relapse among Malaysian Adult Smokers Receiving Assistance in Quitting

“…The differences between our results and Segan's could be explained by the fact that self-liberation (e.g., convincing yourself that you can quit if you wish to) acts as a coping strategy, and thus, selfliberation is more evident early on when cravings are still frequent (Segan et al, 2002). Segan's (2006) study of "quitline" users found a significant difference in self-efficacy.…”

“…Self-efficacy, for instance, was proven to be an important predictor of the success of an early quit attempt, but gradually lost its predictive power over time (Stuart et al, 1994). Similarly, self-liberation was reported to prevent early relapse but not later relapse (Segan et al, 2002), perhaps because such thoughts may be difficult for former smokers as their cravings weaken. Furthermore, negative and positive affect (and their effects on temptation) may predict initial relapse (Kassel et al, 2003) but not later relapse, as the urge to smoke is reduced (Borland and Balmford, 2005).…”

Motivational factors predict quit attempts but not maintenance of smoking cessation: Findings from the International Tobacco Control Four country project

“…Such measures will need to be referenced to, or take into account, the actual experiences of being quit and how these might change and/or might be amenable to interventions (including pharmacotherapies and skills development). They might be like Kahler et al (2007) measure of commitment to quit or of determination to quit (Segan et al, 2002). However, these kinds of measures can really only be assessed once the individual has made a commitment to quit or has actually stopped.…”

“…The empirical evidence supporting a central role for motivation in smoking cessation is mixed. Although there is strong evidence that it is predictive of making quit attempts, this does not seem to translate into prediction of maintenance-or its converse, relapse (e.g., Borland, Owen, Hill, & Schofield, 1991;Hyland et al, 2006;Segan, Borland, & Greenwood, 2002;West, McEwan, Bolling, & Owen, 2001;Zhou et al, 2009). None of the above studies found evidence that motivational factors (including positive expectancies) predicted quit maintenance among those who tried, and some found significant negative associations (e.g., Borland et al; Hyland et al).…”

Understanding how mass media campaigns impact on smokers

“…[9][10] This model conceives of three major stages of readiness to change precessation, and two stages post-cessation. The model has been subject to considerable criticism recently, [11][12][13] however, alternative models begin by assuming engagement in the change process. We believe that there are fundamentally different issues involved in, say, getting somebody not interested to consider quitting from supporting someone who has set a quit date in implementing that plan.…”