Predicting Smoking Cessation Outcome in a Medical Center from Stage of Readiness: Contemplation Versus Action

Rohren, Christina L.; Croghan, Ivana T.; Hurt, R. Douglas; Offord, Kenneth P.; Marušić, Zrinka; McClain, Frances L.

doi:10.1006/pmed.1994.1047

Cited by 69 publications

(33 citation statements)

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“…Although a number of studies (e.g., Chandola et al, 2004 ;Ferguson et al, 2003 ;Hyland et al, 2006 ;Rohren et al, 1994 ;West et al, 2001 ) found nicotine dependence to be a robust predictor of cessation, we did not fi nd the FTND to be a predictor at the multivariate level. Despite the fact that the FTND has been validated against objective measures of tobacco use, selfreport questionnaires generally do not correlate as well as objective measures of tobacco use with abstinence success ( Jarvis, Tunstall-Pedoe, Feyerabend, Vesey, & Saloojee, 1987 ), leading some to advocate for the use of objective measures of tobacco use or dependence when trying to predict abstinence ( Gorber, Schofield-Hurwitz, Hardt, Levasseur, & Tremblay, 2009 ;Kenford et al, 1994 ).…”

Section: Discussioncontrasting

confidence: 94%

“…Research has shown that those who are more dependent are less likely to be successful at quitting (e.g., Chandola, Head, & Bartley, 2004 ;Ferguson et al, 2003 ;Hyland et al, 2006 ;Rohren et al, 1994 ;West et al, 2001 ). Moreover, some evidence suggests that nicotine dependence may be a more powerful predictor of quitting success than the stages of change construct ( Farkas et al, 1996 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of nicotine replacement therapy in early quitting success

Amodei

Lamb²

2009

Nicotine &Amp; Tobacco Research

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Section: Discussioncontrasting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

The role of nicotine replacement therapy in early quitting success

Amodei

Lamb²

2009

Nicotine &Amp; Tobacco Research

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“…We recognize that self-report without biochemical confirmation may overestimate abstinence rates, but this seems to be less of a problem when a patient knows that follow-up is part of the treatment plan. 18,19 Self-report alone may overestimate the 6-month smoking abstinence rates, but the magnitude of the inflation of smoking abstinence is usually small in general population studies. 20 The inflation of self-reported smoking abstinence may be slightly greater among residential patients because of the intensity of therapeutic contact during the program compared with outpatients, although significant overreporting of smoking abstinence was not observed in an intensive hospital treatment program for tobacco dependence that closely resembles our residential treatment program.…”

Section: Discussionmentioning

confidence: 99%

Residential Treatment Compared With Outpatient Treatment for Tobacco Use and Dependence

Hays

Croghan

Schroeder

et al. 2011

Mayo Clinic Proceedings

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“…Estudios derivados de intervenciones clínicas en deshabituación tabáquica han identificado entre los factores que se asocian a la abstinencia el tener bajos niveles de dependencia a la nicotina [27][28][29][30] y encontrarse en estadios del cambio avanzados [28][29][30][31] , si bien otros estudios señalan que el test de Fagerström 32 o los estadios del cambio 33 no predicen tan claramente la conducta tabáquica. A pesar de ello, se debe tener en cuenta que estos trabajos están realizados en un contexto clínico especializado, en el que es más frecuente que los sujetos estén motivados para dejar de fumar.…”

Section: Discussionunclassified

Dependencia a la nicotina y preparación para dejar de fumar en la población española

Fu¹,

Martínez‐Sánchez²,

López

et al. 2011

Adicciones

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Objective: To describe the nicotine dependence and readiness to quit smoking in the smoker population. Methods: Cross-sectional study on a representative sample of the Spanish population of ≥18 years old. We gathered information by means of telephone interviews conducted between June and July of 2006. We studied the nicotine dependence with the Fagerström Test for Nicotine Dependence (FTND) and the readiness to quit according to the stages of change from the Transtheoretical Model in a sample of cigarette smokers. Results: 22.5% of participants (95% CI: 20.9-24.2%) smokers cigarettes. They smoked an average of 14.4 cigarettes per day (standard deviation 9.15) and the mean FTND score was 2.8, with no differences by the stages of change. 64.3% (95% CI: 60.3-68.2%) of smokers were in the precontemplation stage, 25.4% (95% CI: 21.8-28.9%) in contemplation, and 10.4% (95% CI: 7.9-12.9%) in preparation, with no differences by sex. The most nicotine dependent smokers (FTND≥6) had mainly primary studies, started to smoke at earlier ages, and smoked more cigarettes per day. Conclusions: Most Spanish smokers have low nicotine dependence and are in precontemplation stage. Smoking cessation programmes should be addressed to reduce dependence, help smokers to progress through the stages of change, and, consequently, reduce the prevalence of smokers in the population.Keywords: smoking, nicotine dependence, stages of change, transtheoretical model, prevalence, epidemiology RESUMEN ABSTRACTObjetivo: Describir la dependencia a la nicotina y la preparación para dejar de fumar en la población fumadora. Métodos: Estudio transversal de una muestra representativa de la población española ≥18 años. La información se obtuvo mediante entrevistas telefónicas realizadas en junio y julio de 2006. Se estudió la dependencia a la nicotina mediante el test de Fagerström (FTND) y la preparación para dejar de fumar de acuerdo a los estadios del cambio del modelo transteó-rico en una muestra de fumadores de cigarrillos.Resultados: El 22,5% de los participantes (IC 95%: 20,9-24,2%) fumaba cigarrillos. Su consumo medio fue de 14,4 cigarrillos diarios (desviación estándar 9,15) y su puntuación media en el FTND fue de 2,8, sin diferencias según los estadios del cambio. El 64,3% (IC 95%: 60,3-68,2%) de los fumadores estaba en el estadio de precontemplación, el 25,4% (IC 95%: 21,8-28,9%) en el de contemplación y el 10,4% (IC 95%: 7,9-12,9%) en el estadio de preparación, sin diferencias por sexo. Los fumadores más dependientes a la nicotina (FTND≥6) tenían mayoritariamente estudios primarios, comenzaron a fumar a edad más temprana y fumaban más cigarrillos al día.Conclusiones: Los fumadores presentan mayoritariamente un bajo nivel de dependencia a la nicotina y se encuentran en fase de precontemplación. Los programas de deshabituación deberían ir dirigidos a reducir el nivel de dependencia, ayudar a los fumadores a avanzar a través de los estadios del cambio y, consecuentemente, disminuir la prevalencia de fumadores en la población. Dependencia a la nic...

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Predicting Smoking Cessation Outcome in a Medical Center from Stage of Readiness: Contemplation Versus Action

Cited by 69 publications

References 0 publications

The role of nicotine replacement therapy in early quitting success

The role of nicotine replacement therapy in early quitting success

Residential Treatment Compared With Outpatient Treatment for Tobacco Use and Dependence

Dependencia a la nicotina y preparación para dejar de fumar en la población española

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