OBJECTIVE: To assess aspirations for physical health over 18 months. To examine whether maintained importance of aspirations for physical health mediated and/or moderated the effect of an intensive intervention on long-term tobacco abstinence. METHODS: Participants were randomly assigned to an intervention based on self-determination theory or to community care, and provided data at baseline and at 18 and 30 months post-randomization. RESULTS: Aspirations for physical health were better maintained over 18 months among participants in the intervention (mean change=.05), relative to community care (mean change=-.13), t=2.66, p<.01. Maintained importance of aspirations for physical health partially mediated the treatment condition effects on seven-day point prevalence tobacco abstinence (z'=1.68, p<.01) and the longest number of days not smoking (z'=2.16, p<.01), and interacted with treatment condition to facilitate the longest number of days not smoking (beta=.08, p<.05). CONCLUSION: Maintained importance of aspirations for physical health facilitated tobacco abstinence. PRACTICE IMPLICATIONS: Smokers may benefit from discussing aspirations for physical health within autonomy-supportive interventions. Patients may benefit from discussing aspirations during counseling about therapeutic lifestyle change and medication use.
RCT Entities:
OBJECTIVE: To assess aspirations for physical health over 18 months. To examine whether maintained importance of aspirations for physical health mediated and/or moderated the effect of an intensive intervention on long-term tobacco abstinence. METHODS:Participants were randomly assigned to an intervention based on self-determination theory or to community care, and provided data at baseline and at 18 and 30 months post-randomization. RESULTS: Aspirations for physical health were better maintained over 18 months among participants in the intervention (mean change=.05), relative to community care (mean change=-.13), t=2.66, p<.01. Maintained importance of aspirations for physical health partially mediated the treatment condition effects on seven-day point prevalence tobacco abstinence (z'=1.68, p<.01) and the longest number of days not smoking (z'=2.16, p<.01), and interacted with treatment condition to facilitate the longest number of days not smoking (beta=.08, p<.05). CONCLUSION: Maintained importance of aspirations for physical health facilitated tobacco abstinence. PRACTICE IMPLICATIONS: Smokers may benefit from discussing aspirations for physical health within autonomy-supportive interventions. Patients may benefit from discussing aspirations during counseling about therapeutic lifestyle change and medication use.
Authors: Frederick M E Grouzet; Tim Kasser; Aaron Ahuvia; José Miguel Fernández Dols; Youngmee Kim; Sing Lau; Richard M Ryan; Shaun Saunders; Peter Schmuck; Kennon M Sheldon Journal: J Pers Soc Psychol Date: 2005-11
Authors: Geoffrey C Williams; Daryl S Minicucci; Ruth W Kouides; Chantal S Levesque; Valery I Chirkov; Richard M Ryan; Edward L Deci Journal: Health Educ Res Date: 2002-10
Authors: John R Hughes; Josue P Keely; Ray S Niaura; Deborah J Ossip-Klein; Robyn L Richmond; Gary E Swan Journal: Nicotine Tob Res Date: 2003-02 Impact factor: 4.244
Authors: Geoffrey C Williams; Heather Patrick; Christopher P Niemiec; Richard M Ryan; Edward L Deci; Holly McGregor Lavigne Journal: Contemp Clin Trials Date: 2011-03-05 Impact factor: 2.226
Authors: Jeffrey T Kullgren; Geoffrey C Williams; Kenneth Resnicow; Lawrence C An; Amy Rothberg; Kevin G Volpp; Michele Heisler Journal: Int J Workplace Health Manag Date: 2016