Document Type : Original Article
Authors
- . Ahmad Ali Eslami 1
- . Abdorrahman Charkazi 2
- . Firoozeh Mostafavi 3
- . Hossein Shahnazi 3
- . Mohammad Taghi Badeleh 4
- . Gholam Reza Sharifirad 3
1 Ph D in Health Education, Department of Health Education and Health promotion,Schoolof Health, IsfahanUniversity of Medical Sciences,Isfahan, Iran
2 Ph D in Health Education, Department of Public Health,Schoolof Health, Golestan University of Medical Sciences,Gorgan,Iran.
3 Ph D in Health Education, Department of Public Health,Schoolof Health, Golestan University of Medical Sciences,Gorgan,Iran
4 MSc, Instructor of Anesthesia and English Language Teaching,Golestan University of Medical Sciences, Gorgan, Iran
Abstract
Objective: To investigate selected constructs of the transtheoretical model (TTM) of behavior
change regarding smoking behavior among people in the preparation stage, as well as
motivation for cessation and nicotine dependency. Methods: A convenience sample of 123
smokers, during between June to and September 2011, completed the Persian version of the
short form of a smoking questionnaire based on TTM, the Fagerstrom nicotine dependence
test, and the motivational test. Results: Motivation for cessation was great (16.35 ± 2.45). The
negative affects of self-efficacy were higher than those to other situations (4.02 ± 0.84). The
pros and cons of smoking were 2.69 ± 1.00 and 3.78 ± 0.78, respectively. Temptation was
influenced by nicotine dependency (P < 0.05). Early initiation of smoking was significantly
associated with severe nicotine dependency (P < 0.05). Conclusion: The results confirm the
role of temptation, increase in the cons, decrease in the pros, and nicotine dependency.
Keywords
Why is it important? Geneva. Available from: http://who.int/feauters/
qa/34/en/index.html [Last accessed on 2007 Aug 08].
2. Iraninan Ministry of Heath Report, 2006.
3. Prochaska JO, Diclemente CC, Norcross JC. In search of how
people change: Application to addictive behaviors. Am Psychol
1992;47:1102-14.
4. Hall LK, Rossi SJ. Meta-analytic examination of the strong
and weak principles across 48 health behaviors. Prev Med
2008;46;266-74.
5. Velicer WF, Prochaska JD, Rossi JS, Snow M. Assessing outcome
in smoking cessation studies. Psychol Bull 2001;111:23-41.
6. Prochaska JO, Veliver WF. The transtheoretical model of health
behavior change. Am J Health Prom 1997;12:38-48.
7. Chako RM, Sternberg VK, Velasquez, Wiemann CM, Smith BP,
Diclemente R. Young women’s perspective of the pros and cons
to seeking screening for Chlamydia and Gonorrhea: An exploratory
study. J Pediatr Adolesc 2008;21:187-93.
8. Bandura A. Self-efficacy: The Exercise and Control. New York:
W.H. Freeman; 1997.
9. DiClemente CC, Prochaska JO, Gilbertini M. Self-efficacy and the
stages of self-change of smoking. Cogn Ther Res 1985;9:181-200.
10. Prochaska JO, Diclemente CC, Veliver WF, Ginpil S,
Norcross JC. Predicting change in smoking status for self-changer.
Addict Behav1985;10:395-406.
11. Le Houezec J. Non -dopaminergic pathways in nicotine dependence:
Osychoquy: Nicotine Addiction 2001;12. Available from: http://
psycprints.ecs.ston.ac.uk/archive/00000131/ [Last accessed on 2005
Mar 15].
12. Cincripini O, McClure J. Smoking cessation: Recent developments
in behavioral and pharmacologic interventions. Oncology
1998;12:294-56.
13. DiClemente CC, Prochaska, JO, Fairhurst S, Velicer WF,
Rossi JS, Velasquez M. The process of smoking cessation: An
analysis of precontemplation, contemplation and contemplation/
action. J Consult Clin Psychol 1991;59:295-304.
14. Velicer WF, DiClemente CC, Prochaska JO, Brandenberg N.
A decisional balance measure for assessing and predicting smoking
status. J Pers Soc Psychol 1985;48:1279-89.
15. Velicer WF, DiClemente CC, Rossi JS, Prochaska JO. Relapse
situations and self-efficacy: An integrative model. Addict Behav
1990;15:271-83.
16. Charkazi A, Shahnazi H, Ghourchaei AB, Mirkarimi K. Smoking
behaviors in Iranian male students: An application of transtheoretical
model. J Educ Health Promot 2012;1:62-6.
17. Heatherton TF, Kozlowski L, Frecker RC, Fagerstrom KO. The
Fagerstrom Test for Nicotine Dependence: A revision of the
Fagerstrom Tolerance Questionnaire. Br J Addict 1991;86:1119-27.
18. Heydari GH. Good Time for Starting Smoking Cessation Programs.
Pajohandeh J Shahid Beheshti Uni Med Sci 2009;14:53-7.
19. Yalçınkaya-Alkar Ö, Karanci AN. What are the differences in
decisional balance and self-efficacy between Turkish smokers in
different stage of change?. Addict Behav 2007;32:836-49.
20. Lando HA, Thai DT, Murray DM, Robinson LA, Jeffery RW,
Sherwood NE, et al. Age of initiation, smoking patterns, and risk in
a population of working adults. Prev Med 1999;29:590-8.
21. Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF,
Hartwell TD. Predictors of smoking cessation in a cohort of adult
smokers followed for five years. Tob Control 1997;6(Suppl.2):S57-62.
22. Glanz K, Rimer B, Viswanath K. Health Behavior and Health
Education, Theory, Research and Practice. United States: JosseyBass Publisher; 2008.
23. Kim YH. Adolescents smoking behavior and its relationship with
psychological constructs based on transtheoretical model: A crosssectional survey. Int J Nurs Stud 2006;43:439-46.
24. Breslau N, Fenn N, Peterson EL. Early smoking initiation and nicotine
dependence in a cohort of young adults. Drug Alcohol Depend
1993;33:129-37.
25. Taioli E, Wynder EL. Effect of the age at which smoking begins on
frequency of smoking in adulthood. N Engl J Med 1991;325:968-9.
26. Segan CJ, Borland R, Greenwood KM. Do transtheoretical model
measures predict the transition from preparation to action in
smoking cessation? Psychol Health 2002;17:417-35.
27. Diclemente CC. Self-efficacy and the addictive behaviors. J Soc Clin
Psychol 1986;4:302-15.
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