- Volume 14 Issue 4
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Testing the Transtheoretical Model in Predicting Smoking Relapse among Malaysian Adult Smokers Receiving Assistance in Quitting
- Yasin, Siti Munira (Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA) ;
- Retneswari, Masilamani (Centre for Occupational and Environmental Health, University of Malaya) ;
- Moy, Foong Ming (Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya) ;
- Taib, Khairul Mizan (Faculty of Information Management, Universiti Teknologi MARA) ;
- Isahak, Marzuki (Centre for Occupational and Environmental Health, University of Malaya) ;
- Koh, David (Saw Swee Hock School of Public Health, National University of Singapore)
- Published : 2013.04.30
The role of The Transtheoretical Model (TTM) in predicting relapse is limited. We aimed to assess whether this model can be utilised to predict relapse during the action stage. The participants included 120 smokers who had abstained from smoking for at least 24 hours following two Malaysian universities' smoking cessation programme. The smokers who relapsed perceived significantly greater advantages related to smoking and increasing doubt in their ability to quit. In contrast, former smokers with greater self-liberation and determination to abstain were less likely to relapse. The findings suggest that TTM can be used to predict relapse among quitting smokers.
- Abrantes AM, Strong DR, Lejuez CW, et al (2008). The role of negative affect in risk for early lapse among low distress tolerence smokers. Addict Behav, 33, 1394-401. https://doi.org/10.1016/j.addbeh.2008.06.018
- Borland R, Balmford J (2005). Perspectives on relapse prevention: an exploratory study. Psychol Health, 20, 661-71. https://doi.org/10.1080/08870440512331333979
- Borland R, Segan C, Velicer W (2000). Testing the transtheoretical model for smoking change: Victorian data. Aust J Psychol 52, 83-8. https://doi.org/10.1080/00049530008255372
- Campbell S, Bohanna I, Swinbourne A, et al (2013). Stages of change, smoking behaviour and readiness to quit in a large sample of indigenous australians living in eight remote North Queensland communities. Int J Environ Res Public Health, 10, 1562-71. https://doi.org/10.3390/ijerph10041562
- Cupertino AP, Berg C, Gajewski B, et al (2012). Change in selfefficacy, autonomous and controlled motivation predicting smoking. J Health Psychol, 17, 640-52. https://doi.org/10.1177/1359105311422457
- Etter JF, Sutton S (2002). Assessing 'stage of change' in current and former smokers. Addiction, 97, 1171-82. https://doi.org/10.1046/j.1360-0443.2002.00198.x
- Fava JL, Velicer WF, Prochaska JO (1995). Applying the transtheoretical model to a representative sample of smokers. Addict Behav, 20, 189-203. https://doi.org/10.1016/0306-4603(94)00062-X
- Huang CM, Wu HL, Huang SH, et al (2013). Transtheoretical model-based passive smoking prevention programme among pregnant women and mothers of young children. Eur J Public Health [Epub ahead of print].
- Hyland A, Borland R, Li Q, et al (2006). Individual level predictors of cessation behaviors among participants in the International Tobacco Control (ITC) four country survey. Tob Control, 15, 83-94. https://doi.org/10.1136/tc.2003.007237
- Jane H, Ching-Hua L, Jung-Der W, et al (2006). Exhaled carbon monoxide level as an indicator of cigarette consumption in a workplace cessation program in Taiwan. J Farmos Med Assoc, 105, 210-3. https://doi.org/10.1016/S0929-6646(09)60307-7
- Janis IL, Mann L (1977). Decision making: a psychological analysis of conflict, choice, and commitment: New York Free Press.
- Larimer ME, Palmer RS, Marlatt GA (1999). Relapse prevention: an overview of marlatt's cognitive-behavioural model. Alcohol Res Health, 23, 151-60.
- McEwen A, West R, Bolling K, et al (2001). Smoking cessation and smoking patterns in the general population: a 1 year follow-up. Addiction, 96, 891-902. https://doi.org/10.1046/j.1360-0443.2001.96689110.x
- Norman GJ, Velicer WF, Fava JL, et al (1998). Dynamic typology clustering within the stages of change for smoking cessation. Addict behav, 23, 139-53. https://doi.org/10.1016/S0306-4603(97)00039-7
- Ockene J, Emmons K, Melmelstein R, et al (2000). Relapse and maintenance issue for smoking cessation. Health Psychol, 19, 17-31. https://doi.org/10.1037/0278-6133.19.Suppl1.17
- Paiva AL, Prochaska JO, Yin H-Q, et al (2012). Treated individuals who progress to action or maintenance for one behavior are more likely to make similar progress on another behavior: coaction results of a pooled data analysis of three trials. Prev Med [Epub ahead of print].
- Piasecki TM (2006). Relapse to smoking. Clin Psychol Rev, 26, 196-215. https://doi.org/10.1016/j.cpr.2005.11.007
- Piasecki TM, Fiore MC, McCarthy DE, Baker TB (2002). Have we lost our way? The need for dynamic formulations of smoking relapse proneness. Addictions, 97, 1093-108. https://doi.org/10.1046/j.1360-0443.2002.00216.x
- Piasecki TM, Jorenby DE, Smith SS (2002). Smoking withdrawal dynamics: II. Improved tests of withdrawalrelapse relations. J Abnorm Psychol, 112, 14-27.
- Prochaska J, DiClemente C (1983). Stages and processes of selfchange of smoking: toward an integrative model of change. J Consult Clin Psychol, 51, 390-5. https://doi.org/10.1037/0022-006X.51.3.390
- Prochaska J, Diclemente C, Velicer W, et al (1985a). Predicting change in smoking status for self-changers. Addict Behav, 10, 395-406. https://doi.org/10.1016/0306-4603(85)90036-X
- Prochaska J, Velicer W, DiClemente C, et al (1988). Measuring processes of change: applications to the cessation of smoking. J Consult Clin Psychol, 56, 520-8. https://doi.org/10.1037/0022-006X.56.4.520
- Prochaska J, Velicer W, Fava J, et al (2001). Counselor and stimulus control enhancement of a stage-matched expert system intervention for smokers in a managed care setting. Prev Med, 32, 23-32. https://doi.org/10.1006/pmed.2000.0767
- Prochaska J, Velicer W, Fava J, et al (2001). Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addict Behav, 26, 583-602. https://doi.org/10.1016/S0306-4603(00)00151-9
- Prochaska JO, DiClemente CC, Norcross JC (1992). In search of how people change: applications to addictive behaviors. Am Psychol, 47, 1102-14. https://doi.org/10.1037/0003-066X.47.9.1102
- Prochaska JO, Velicer WF, Rossi JS, et al (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychol, 13, 39-46. https://doi.org/10.1037/0278-6126.96.36.199
- Schnoll RA, Martinez E, Tatum KL, et al (2011). Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment. Addict behav, 36, 144-7. https://doi.org/10.1016/j.addbeh.2010.08.024
- Segan C, Borland R, Greenwood K (2002). Do transtheoretical model measures predict the transition from preparation to action in smoking cessation? Psychol Health, 17, 417-35. https://doi.org/10.1080/0887044022000004911
- Segan C, Borland R, Greenwood KM (2006). Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline? Addict Behav, 31, 414-28. https://doi.org/10.1016/j.addbeh.2005.05.023
- Shiffman S, Ferguson SG, Gwaltney CJ (2006). Immediate hedonic response to smoking lapses: relationship to smoking relapse, and effects of nicotine replacement therapy. Psychopharmacol, 184, 608-18. https://doi.org/10.1007/s00213-005-0175-4
- Shiffman S, Paty J, Gyns M, et al (1996). First lapses to smoking: Within subject analysis of real-time reports. J Consulting and Clinical Psychology, 64, 366-79. https://doi.org/10.1037/0022-006X.64.2.366
- Spek V, Lemmens F, Chatrou M, et al (2012). Development of a Smoking Abstinence Self-efficacy Questionnaire. Int J Behav Med [Epub ahead of print].
- Stuart K, Borland R, McMurray N (1994). Self-efficacy, health locus of control, and smoking cessation. Addict Behav, 15, 271-83.
- Sun X, Prochaska JO, Velicer WF, et al (2007). Transtheoretical principles and processes for quitting smoking: A 24-month comparison of a representative sample of quitters, relapsers, and non-quitters. Addict Behav, 32, 2707-26. https://doi.org/10.1016/j.addbeh.2007.04.005
- USDHHS (1990). The health benefits of smoking cessation: A report of the Surgeon General: US Department of Health and Human Services, Public Health Service, Centers of Disease Control and Prevention.
- Velicer W, DiClemente CC, Prochaska JO, et al (1985). Decisional balance measure for assessing and predicting smoking status. J Pers Soc Psychol, 48, 1279-89. https://doi.org/10.1037/0022-35188.8.131.529
- Velicer W, DiClemente CC, Rossi JS, et al (1990). Relapse situations and self-efficacy: an integrative model. Addict Behav, 15, 271-83. https://doi.org/10.1016/0306-4603(90)90070-E
- Velicer W, Norman G, Fava J, et al (1999) .Testing 40 predictions from the transtheoretical model. Addict Behav, 24, 455-69. https://doi.org/10.1016/S0306-4603(98)00100-2
- Velicer W, Prochaska Fava J, Laforge L, et al (1999) Interactive versus non-interactive interventions and dose-response relationships for stage matched smoking cessation programs in a managed care setting. Health Psychol, 18, 21-8. https://doi.org/10.1037/0278-6184.108.40.206
- Velicer W, Prochaska J, Redding C (2006). Tailored communications for smoking cessation: Past successes and future directions. Drug Alcohol Rev, 25, 47-55.
- Weinstein N, Rothman A, Sutton S (1998). Stage theories of health behavior: Conceptual and methodological issues. Health Psychol, 17, 290-9. https://doi.org/10.1037/0278-6220.127.116.110
- Yasin SM, Khairul M, Rafdzah A (2011). Reliability and construct validity of the bahasa malaysia version of Transtheoretical Model (TTM) questionnaire for smoking cessation and relapse among malaysian adult smokers. Asian Pac J Cancer Prev, 12, 1439-43.
- Yasin SM, Moy FM, Retneswari M, et al (2012). Timing and risk factors associated with relapse among smokers attempting to quit in Malaysia. Int J Tuberc Lung Dis, 16, 980-5. https://doi.org/10.5588/ijtld.11.0748
- Yasin SM, Retneswari M, Moy FM, et al (2011). Smokers can quit regardless of motivation stage in a worksite smoking cessation programme in malaysia. Asian Pac J Cancer Prev, 12, 2193.
- Yasin SM, Retneswari M, Moy FM, et al (2011). Does change in perception following counseling result in improved quitting outcome among Malaysian smokers? Asia Pac J Public Health, [Epub ahead of print].
- Incidence of Adverse Transition in Smoking Stages among Adolescents of Kinta, Perak vol.14, pp.11, 2013, https://doi.org/10.7314/APJCP.2013.14.11.6769