Predicting smoking stage of change among a sample of low socioeconomic status, primary care outpatients: Replication and extension using decisional balance and self-efficacy theories

被引:22
作者
Boudreaux, E
Carmack, CL
Scarinci, IC
Brantley, PJ
机构
[1] Louisiana State Univ, Sch Med, Dept Emergency Med, Baton Rouge, LA 70803 USA
[2] Univ Texas, MD Anderson Cancer Ctr, Houston, TX 77030 USA
[3] Louisiana State Univ, Dept Psychol, Baton Rouge, LA 70803 USA
[4] Louisiana State Univ, Pennington Biomed Res Ctr, Baton Rouge, LA 70803 USA
关键词
primary care; stage of change; self-efficacy; decisional balance theory; smoking; low SES;
D O I
10.1207/s15327558ijbm0502_5
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
An expanding body of research using the transtheoretical model with both self-change and treatment programs suggests that differences in readiness for smoking cessation are important predictors of successful abstinence. Understanding the cognitive processes underlying these differences may hold tremendous potential for improving the efficacy and efficiency of intervention strategies. Decisional balance theory and self-efficacy theory have been used to help explore how and why people move through the stages of change, but they have been validated almost exclusively with middle-class, educated White samples. This study sought to investigate whether these theories relate to each other in the same manner among low socioeconomic status (SES) primary care outpatients. Results indicated that variables from decisional balance theory (pros, cons) and self-efficacy theory successfully differentiated stage membership and yielded results consistent with the extant literature. Self-efficacy demonstrated the most powerful association with stage membership, whereas pros, cons, and temptations exhibited varying degrees of association. Clinical implications and special considerations when conducting research and implementing interventions with low-SES smokers are discussed.
引用
收藏
页码:148 / 165
页数:18
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