OBJECTIVE: To compare the predictive validity of several measures of motivation to quit smoking among inpatients enrolled in a smoking cessation program. METHODS: Data collected during face-to-face counseling sessions included a standard measure of motivation to quit (stage of readiness [Stage]: precontemplation, contemplation, or preparation) and four items with responses grouped in three categories: "How much do you want to quit smoking" (Want), "How likely is it that you will stay off cigarettes after you leave the hospital" (Likely), "Rate your confidence on a scale from 0 to 100 about successfully quitting in the next month" (Confidence), and a counselor assessment in response to the question, "How motivated is this patient to quit?" (Motivation). Patients were classified as nonsmokers if they reported not smoking at both the 6-month and 12-month interviews. All patients lost to follow-up were considered smokers. MAIN RESULTS: At 1 year, the smoking cessation rate was 22. 5%. Each measure of motivation to quit was independently associated with cessation ( p <.001) when added individually to an adjusted model. Likely was most closely associated with cessation and Stage was least. Likely had a sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratio of 70.2%, 68.1%, 39.3%, 88.6%, and 2.2, respectively. CONCLUSIONS: The motivation of inpatient smokers to quit may be as easily and as accurately predicted with a single question as with the series of questions that are typically used.
OBJECTIVE: To compare the predictive validity of several measures of motivation to quit smoking among inpatients enrolled in a smoking cessation program. METHODS: Data collected during face-to-face counseling sessions included a standard measure of motivation to quit (stage of readiness [Stage]: precontemplation, contemplation, or preparation) and four items with responses grouped in three categories: "How much do you want to quit smoking" (Want), "How likely is it that you will stay off cigarettes after you leave the hospital" (Likely), "Rate your confidence on a scale from 0 to 100 about successfully quitting in the next month" (Confidence), and a counselor assessment in response to the question, "How motivated is this patient to quit?" (Motivation). Patients were classified as nonsmokers if they reported not smoking at both the 6-month and 12-month interviews. All patients lost to follow-up were considered smokers. MAIN RESULTS: At 1 year, the smoking cessation rate was 22. 5%. Each measure of motivation to quit was independently associated with cessation ( p <.001) when added individually to an adjusted model. Likely was most closely associated with cessation and Stage was least. Likely had a sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratio of 70.2%, 68.1%, 39.3%, 88.6%, and 2.2, respectively. CONCLUSIONS: The motivation of inpatient smokers to quit may be as easily and as accurately predicted with a single question as with the series of questions that are typically used.
Authors: J O Prochaska; W F Velicer; J S Rossi; M G Goldstein; B H Marcus; W Rakowski; C Fiore; L L Harlow; C A Redding; D Rosenbloom Journal: Health Psychol Date: 1994-01 Impact factor: 4.267
Authors: J K Ockene; J Kristeller; R Goldberg; T L Amick; P S Pekow; D Hosmer; M Quirk; K Kalan Journal: J Gen Intern Med Date: 1991 Jan-Feb Impact factor: 5.128
Authors: Carla J Berg; Pamela M Ling; Rashelle B Hayes; Erin Berg; Nikki Nollen; Eric Nehl; Won S Choi; Jasjit S Ahluwalia Journal: Health Educ Res Date: 2011-12-07
Authors: Vincenzo Teneggi; Stephen T Tiffany; Lisa Squassante; Stefano Milleri; Luigi Ziviani; Alan Bye Journal: Psychopharmacology (Berl) Date: 2005-10-22 Impact factor: 4.530
Authors: Jennifer Irvin Vidrine; Lorraine R Reitzel; Patricia Y Figueroa; Mary M Velasquez; Carlos A Mazas; Paul M Cinciripini; David W Wetter Journal: Cogn Behav Pract Date: 2011-12-08
Authors: Whitney L Heppner; Lingyun Ji; Lorraine R Reitzel; Lorraine Reitzel; Yessenia Castro; Virmarie Correa-Fernandez; Jennifer Irvin Vidrine; Yisheng Li; Patricia Dolan-Mullen; Mary M Velasquez; Paul M Cinciripini; Paul Cinciripini; Ludmila Cofta-Woerpel; Ludmilla Cofta-Woerpel; Anthony Greisinger; David Wetter Journal: Health Psychol Date: 2011-08-22 Impact factor: 4.267
Authors: David Katz; Mark Vander Weg; Steve Fu; Allan Prochazka; Kathleen Grant; Lynne Buchanan; David Tinkelman; Heather Schacht Reisinger; John Brooks; Stephen L Hillis; Anne Joseph; Marita Titler Journal: Implement Sci Date: 2009-09-10 Impact factor: 7.327