[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Indexing Sources::
Editorial Board::
Executive Members::
Articles Archive::
Instruction to Authors::
Peer-Review::
Contact Us::
Site Facilities::
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 18, Issue 3 (10-2016) ::
J Gorgan Univ Med Sci 2016, 18(3): 103-110 Back to browse issues page
Application of transtheoretical model to determination of smoking behavior
GR Sharifirad1 , AR Charkazi * 2, K Mirkarimi3 , NS Seyyedghasemi4 , H Shahnazi5 , F Hajili Davaji6 , AH Mirzaali6
1- Professor, Health Education and Promotion Department, School of Health, Qom University of Medical Sciences, Qom, Iran.
2- Assistant Professor, Environmental Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran. , charkazi@goums.ac.ir
3- Assistant Professor, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
4- M.Sc in Biostatistic, Public Health Department, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
5- Assistant Professor, Department of Health Promotion and Health Education, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
6- B.Sc Student of Public Health, Public Health Department, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract:   (8668 Views)

Background and Objective: Smoking is one of the important risk factors for many diseases and increases the premature death.Transtheoretical models is one of the behavioral models for behavior understanding specifically in addictive behaviors. This study was done to evaluate the application of transtheoretical model to determination of smoking behavior among smokers.

Methods: This descriptive - analytical study conducted on 450 male smokers in Gorgan, northern Iran during 2014. Data gathering instruments were Diclemente smoking stages of change, Velicer decisional balance and temptation, Prochaska processes of change measurements along Fagerstrom test for nicotine dependency.

Results: Based on the stages of changes, 39.1%, 13.8%, 42.4%, 2.7% and 2% of subjects were in precontemplation, contemplation, preparation, action and maintenance stage, respectively. There was a significant relationship between stages of change with all transtheoretical model variables and nicotine dependency (P<0.05). Cons of smoking, self-reevaluation, self-liberation, and social liberation had the highest effect while helping relationship had the lowest effect.

Conclusion: Cons of smoking, self-reevaluation, self-liberation, and social liberation had the strongest predictors of smoking stages movement. Helping relationship had the lowest predictor of smoking stages movement.

Keywords: Smoking, Transtheoretical Model, Stages of change
Full-Text [PDF 255 kb] [English Abstract]   (14939 Downloads) |   |   Abstract (HTML)  (1054 Views)  
Type of Study: Original Articles | Subject: Health System
References
1. Slama K. Current challenges in tobacco control. Int J Tuberc Lung Dis. 2004 Oct; 8(10):1160-72.
2. Greenland P, Abrams J, Aurigemma GP, Bond MG, Clark LT, Criqui MH, et al. Prevention Conference V: Beyond secondary prevention: identifying the high-risk patient for primary prevention: noninvasive tests of atherosclerotic burden: Writing Group III. Circulation. 2000 Jan; 101(1):E16-22.
3. WHO report on the global tobacco epidemic, enforcing bans on tobacco advertising, promotion and sponsorship. 2013. Available at: http://apps.who.int/iris/bitstream/10665/85380/1/9789241 505871_eng.pdf
4. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004.
5. Mehrabi S, Delavari A, Moradi G, Esmailnasab EN, Pooladi A, Alikhani S, et al. [Smoking among 15-to 64-year-old Iranian people in 2005]. Iran J Epidemiol. 2007; 3(1-2): 1-9. [Article in Persian]
6. Kim YH. Adolescents' smoking behavior and its relationships with psychological constructs based on transtheoretical model: a cross-sectional survey. Int J Nurs Stud. 2006 May; 43(4):439-46.
7. Prochaska J, Norcross J. Systems of psychotherapy: A transtheoretical analysis. 8th ed. Starmford: Cengage Learning. 2013; pp: 474-77.
8. Hayden JA. Introduction to health behavior theory. 2nd ed. Burlington: Jones & Bartlett Publishers. 2013; pp: 138-46.
9. Prochaska JO, Marcus BH. The transtheoretical model: applications to exercise. 1st ed. Champaign: Human Kinetics Publishers. 1994; pp: 161-80.
10. Aveyard P, Sherratt E, Almond J, Lawrence T, Lancashire R, Griffin C, et al. The change-in-stage and updated smoking status results from a cluster-randomized trial of smoking prevention and cessation using the transtheoretical model among British adolescents. Prev Med. 2001 Oct; 33(4):313-24.
11. Bandura A, Adams NE. Analysis of self-efficacy theory of behavioral change. Cognitive therapy and research. 1977; 1(4): 287-310.
12. Siahpush M, Carlin JB. Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction. 2006 Jan; 101(1):121-7.
13. Dijkstra A, Borland R. Residual outcome expectations and relapse in ex-smokers. Health Psychol. 2003 Jul; 22(4):340-6.
14. Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, et al. Stages of change and decisional balance for 12 problem behaviors. Health Psychol. 1994 Jan; 13(1):39-46.
15. Chacko MR, von Sternberg K, Velasquez MM, Wiemann CM, Smith PB, DiClemente R. Young women's perspective of the pros and cons to seeking screening for chlamydia and gonorrhea: an exploratory study. J Pediatr Adolesc Gynecol. 2008 Aug; 21(4):187-93. doi: 10.1016/j.jpag.2007.08.009
16. DiClemente CC, Prochaska JO, Fairhurst SK, Velicer WF, Velasquez MM, Rossi JS. The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol. 1991 Apr;59(2):295-304.
17. Velicer WF, Fava JL, Prochaska JO, Abrams DB, Emmons KM, Pierce JP. Distribution of smokers by stage in three representative samples. Prev Med. 1995 Jul; 24(4):401-11.
18. Velicer WF, Diclemente CC, Rossi JS, Prochaska JO. Relapse situations and self-efficacy: an integrative model. Addict Behav. 1990; 15(3):271-83.
19. Prochaska JO, Velicer WF, DiClemente CC, Fava J. Measuring processes of change: applications to the cessation of smoking. J Consult Clin Psychol. 1988 Aug; 56(4):520-8.
20. Velicer WF, DiClemente CC, Prochaska JO, Brandenburg N. Decisional balance measure for assessing and predicting smoking status. J Pers Soc Psychol. 1985 May; 48(5):1279-89.
21. Sharifirad GR, Eslami AA, Charkazi A, Mostafavi F, Shahnazi H. The effect of individual counseling, line follow-up, and free nicotine replacement therapy on smoking cessation in the samples of Iranian smokers: Examination of transtheoretical model. J Res Med Sci. 2012 Dec; 17(12):1128-36.
22. Ziaadini H, Kheradmand A, Nakhaee N, Taherzadeh H. [Prevalence of cigarette smoking and relevant factors among school students in south of Iran]. J Fundam Ment Health. 2008; 10(3): 239-45. [Article in Persian]
23. Heidari GhR, Sharifi Milani H, Hosseini M, Masjedi MR. The effect of training and behavioral therapy recommendations on smoking cessation: a report of the first smoking cessation clinic in Iran. Tanaffos Respir. 2003; 2(6): 44-39.
24. Huang CL, Lin HH, Wang HH. Evaluating screening performances of the Fagerstrom tolerance questionnaire, the Fagerstrom test for nicotine dependence and the heavy smoking index among Taiwanese male smokers. J Clin Nurs. 2008 Apr; 17(7):884-90. doi: 10.1111/j.1365-2702.2007.02054.x
25. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Massachusetts: Routledge Academic. 2013; pp: 48-49.
26. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: John Wiley & Sons. 2008; pp: 97-104.
27. Miller WR, Heather N. Treating Addictive Behaviors: Processes of Change. 1st ed. Berlin: Springer Science & Business Media. 2013; pp: 3-7.
28. Carlson LE, Goodey E, Bennett MH, Taenzer P, Koopmans J. The addition of social support to a community-based large-group behavioral smoking cessation intervention: improved cessation rates and gender differences. Addict Behav. 2002 Jul-Aug; 27(4):547-59.
29. McAlister A, Rabius V, Geiger A, Glynn T, Huang P, Todd R. Telephone assistance for smoking cessation: one year cost effectiveness estimations. Tob Control. 2004 Mar; 13(1): 85-86. doi: 10.1136/tc.2003.004515
30. Hoeppner BB, Velicer WF, Redding CA, Rossi JS, Prochaska JO, Pallonen UE, et al. Psychometric evaluation of the smoking cessation processes of change scale in an adolescent sample. Addict Behav. 2006 Aug; 31(8):1363-72.
31. Anatchkova MD, Redding CA, Rossi JS. Development and validation of decisional balance and temptations measures for Bulgarian adolescent smokers. Addict Behav. 2006 Jan; 31(1):155-61.
32. Haug S, Meyer C, Ulbricht S, Schorr G, Rüge J, Rumpf HJ, John U. Predictors and moderators of outcome in different brief interventions for smoking cessation in general medical practice. Patient Educ Couns. 2010 Jan; 78(1):57-64. doi: 10.1016/j.pec. 2009.07.005
Send email to the article author


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharifirad G, Charkazi A, Mirkarimi K, Seyyedghasemi N, Shahnazi H, Hajili Davaji F et al . Application of transtheoretical model to determination of smoking behavior. J Gorgan Univ Med Sci 2016; 18 (3) :103-110
URL: http://goums.ac.ir/journal/article-1-2843-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 18, Issue 3 (10-2016) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.04 seconds with 35 queries by YEKTAWEB 4657