Hoving E F, Mudde A N, de Vries H
Department of Health Promotion.ealth Education, University of Maastricht, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Health Educ Res. 2006 Jun;21(3):305-14. doi: 10.1093/her/cyl033. Epub 2006 Jun 8.
Pre-contemplators, contemplators and preparers have previously been described by distinct scores on pros, social influence and self-efficacy, the Ø pattern. The objective of this study was to replicate this pattern in a sample of adult smokers (n = 554), to longitudinally observe stage sequence and identify predictors for forward and backward stage transition. Three hypotheses were formulated: (i) forward transition from pre-contemplation will be predicted by a higher perception of pros concerning smoking cessation, (ii) backward transition from contemplation will be predicted by a lower perception of pros of quitting smoking and (iii) forward transition from preparation will be predicted by a higher self-efficacy perception concerning smoking cessation. The Ø pattern was replicated successfully. Smokers appeared to be more likely to transition to an adjacent stage than to skip a stage in the sequence. For prediction of stage transition, separate analyses were conducted for pre-contemplators, contemplators and preparers. Respondents transitioning forward were compared with respondents remaining in the same stage or transitioning backward and vice versa. Hypothesis (i) and (iii) were confirmed. Additionally, self-efficacy predicted forward transition from pre-contemplation. Implications towards improving interventions and research concerning stage transition are discussed.
之前曾根据益处、社会影响和自我效能（即Ø模式）方面的不同得分来描述前意向者、意向者和准备者。本研究的目的是在成年吸烟者样本（n = 554）中复制这种模式，纵向观察阶段顺序，并确定向前和向后阶段转变的预测因素。提出了三个假设：（i）从前意向阶段向前转变将由对戒烟益处的更高认知来预测；（ii）从意向阶段向后转变将由对戒烟益处的更低认知来预测；（iii）从准备阶段向前转变将由对戒烟的更高自我效能感认知来预测。成功复制了Ø模式。吸烟者似乎更有可能过渡到相邻阶段，而不是跳过序列中的某个阶段。为了预测阶段转变，对前意向者、意向者和准备者进行了单独分析。将向前转变的受访者与留在同一阶段或向后转变的受访者进行比较，反之亦然。假设（i）和（iii）得到证实。此外，自我效能感预测了从前意向阶段的向前转变。讨论了对改进阶段转变干预措施和研究的启示。
