TY - JOUR
T1 - Predicting smoking stage of change among a sample of low socioeconomic status, primary care outpatients
T2 - Replication and extension using decisional balance and self-efficacy theories
AU - Boudreaux, Edwin
AU - Carmack, Cindy L.
AU - Scarinci, Isabel C.
AU - Brantley, Phillip J.
N1 - Funding Information:
An expanding body of research using the transtheorctical model with both self-change and treatment programs suggests thal differences in readiness for smoking cessation are important predictors of successfld abstinence, Understanding the cognitive processes underlying these differences may hold tremendous potential for improving the efficacy and efficiency of intervention strategies. Decisional balance theoryand self-efficacy theory, have been used to help explore how and why people move through "the s~ages of change, but "they have been validated a~most exclusively with middle-class, educated White samples. This study sought to investigate whether these theories relate to each other in the same manner amotag low socioeconomic status (SES) primary care outpatients, Results indicated that variables from decisional ba\]ance theory (pros, cons) and self-efficacy theory successfully differentiated stage membership and yielded resutts consistent with the extant titerature. Sel f-efficacy demonstrated the most powerful as-sr~ciation with stage membership, whereag pros. cons, and temptations exhibited Edwin Boudreaux, Department of Emergency Medicine, Louisianu State University School of Medicine, Baton Rouge. LA. USA:Cindy L, Carmack. M. D. Anderson Cancer Cen|er. Universlly of TeXas, Houston, TX, USA; Isabel C. Scarinci, Dep:wtment of Psychology, Louisiana State University. Baton Roug-~, LA, USA; PE,.!!ip J. nr~_nt!_o;, , P-~n~ingt~n ~i-,..v.__-'dic~!! ,~ese~,rchC enter, t_."uis!.".~ S~_2~__pL l.-...v,_.-r sity, Baton Rouge. LA, USA. This study wa,~ funded by the Louisiana Stale Legislalure and supported by Pennington Biomedie:d Research Center, Correspnndenee concerning Ih is article should be addressed to Edwio Boudreaux. Emergency Medi-Eine ResidEncy Program, Earl K. Long Medical Cenler, 5,q25 Airline Highway, Baton Rouge, LA ?0805-2498. E ftmil: eboudt@juno.corn
PY - 1998
Y1 - 1998
N2 - 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.
AB - 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.
KW - Decisional balance theory
KW - Low SES
KW - Primary care
KW - Self-efficacy
KW - Smoking
KW - Stage of change
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U2 - 10.1207/s15327558ijbm0502_5
DO - 10.1207/s15327558ijbm0502_5
M3 - Article
C2 - 16250710
AN - SCOPUS:0031706497
SN - 1070-5503
VL - 5
SP - 148
EP - 165
JO - International Journal of Behavioral Medicine
JF - International Journal of Behavioral Medicine
IS - 2
ER -