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预测戒烟意愿和戒烟行为:拓展计划行为理论

Predicting the intention to quit smoking and quitting behaviour: extending the theory of planned behaviour.

作者信息

Rise J, Kovac V, Kraft P, Moan I S

机构信息

Norwegian Institute for Alcohol and Drug Research, Sentrum, Oslo, Norway.

出版信息

Br J Health Psychol. 2008 May;13(Pt 2):291-310. doi: 10.1348/135910707X187245. Epub 2007 Mar 5.

DOI:10.1348/135910707X187245
PMID:17535498
Abstract

OBJECTIVES

The present study examined the ability of the TPB to predict the intention to quit smoking and quitting behaviour. In addition, the predictive power of future orientation, number of cigarettes smoked, planning, past behaviour and the interactions between intention and other predictors was examined.

MATERIAL AND METHODS

The data were derived from a longitudinal survey among 103 daily smoking students at the University of Oslo (mean age 24.6 years, mean number of years of smoking = 8 years). These data were collected by means of self-administered questionnaires at T1 (October 2003) and at T2 (February 2004) in terms of recording actual quitting.

RESULTS

The TPB components accounted for 30% of the variance in quitting intentions, and affective attitude and descriptive norm emerged as the strongest predictors of quitting intention. Ordinal regression analysis showed that intention was a borderline significant predictor of subsequent quitting behaviour, while the impact of PBC was non-significant (model 1). The inclusion of the additional variables improved the fit of the model, with number of cigarettes and planning appearing as significant predictors of behaviour (model 2). As predicted, there was a significant interaction between perceived control and intentions on quitting (model 3). Nagelkerke R(2) increased from .07 in model 1 to .54 in model 2, and finally to .58 in model 3.

CONCLUSIONS

The results indicate that affective attitude and descriptive norm play a more crucial role than the other TPB predictors in motivating smokers to quit. The results also indicate that self-regulatory strategies are important in relation to addictive behaviours.

摘要

目的

本研究考察了计划行为理论(TPB)预测戒烟意图和戒烟行为的能力。此外,还考察了未来取向、吸烟数量、计划、过去行为以及意图与其他预测因素之间的相互作用的预测能力。

材料与方法

数据来源于对奥斯陆大学103名每日吸烟学生的纵向调查(平均年龄24.6岁,平均吸烟年限 = 8年)。这些数据通过在T1(2003年10月)和T2(2004年2月)进行的自填问卷收集,以记录实际戒烟情况。

结果

TPB各成分解释了戒烟意图中30%的方差变异,情感态度和描述性规范成为戒烟意图的最强预测因素。有序回归分析表明,意图是后续戒烟行为的临界显著预测因素,而行为意向的影响不显著(模型1)。纳入其他变量改善了模型的拟合度,吸烟数量和计划成为行为的显著预测因素(模型2)。正如预测的那样,感知控制和戒烟意图之间存在显著的交互作用(模型3)。Nagelkerke R²从模型1中的0.07增加到模型2中的0.54,最终在模型3中增加到0.58。

结论

结果表明,在促使吸烟者戒烟方面,情感态度和描述性规范比TPB的其他预测因素发挥着更关键的作用。结果还表明,自我调节策略在成瘾行为方面很重要。

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