Spoth R
Social and Behavioral Research Center for Rural Health, Iowa State University, Ames 50011.
Addict Behav. 1991;16(6):427-40. doi: 10.1016/0306-4603(91)90051-i.
The purpose of this article is to report results from three exploratory studies which examined smoker preferences for cessation program attributes associated with stage of quitting. Study 1 was a telephone survey of 205 randomly selected smokers, in "precontemplative," "contemplative," and "ready-for-action" stages of quitting, who were queried about their preference for a wide variety of cessation program attributes. Study 2 entailed a computer-assisted telephone interview of 218 smokers in the same three stages of quitting. Interview data were used for multiattribute utility analysis of (a) preference for specific program attributes, selected partially on the basis of Study 1 results; and (b) preference for six different types of cessation programs, evaluated through computer simulations. Study 3 replicated Study 2 procedures using a smaller mall intercept sample which allowed in-person interviews and the use of display materials. Results suggested that there are limited but potentially significant differences among smokers in the three stages concerning program attribute preferences (e.g., use of self-help vs. facilitator-led programs, inclusion of relaxation techniques, quitting cold turkey, strategies for gaining social support). Nonetheless, there were no statistically significant differences among the three subgroups in level of preference for the six types of programs evaluated. Implications of these preliminary results are discussed.
本文旨在报告三项探索性研究的结果,这些研究考察了吸烟者对与戒烟阶段相关的戒烟项目属性的偏好。研究1是一项对205名随机抽取的吸烟者进行的电话调查,这些吸烟者处于戒烟的“未考虑阶段”“考虑阶段”和“准备行动阶段”,调查询问了他们对各种戒烟项目属性的偏好。研究2对处于相同三个戒烟阶段的218名吸烟者进行了计算机辅助电话访谈。访谈数据用于对以下内容进行多属性效用分析:(a) 对特定项目属性的偏好,部分基于研究1的结果进行选择;(b) 对六种不同类型戒烟项目的偏好,通过计算机模拟进行评估。研究3使用规模较小的商场拦截样本重复了研究2的程序,该样本允许进行面对面访谈并使用展示材料。结果表明,处于三个阶段的吸烟者在项目属性偏好方面存在有限但可能显著的差异(例如,使用自助项目与由指导者主导的项目、是否包含放松技巧、突然戒烟、获得社会支持的策略)。尽管如此,在对所评估的六种类型项目的偏好程度上,三个亚组之间没有统计学上的显著差异。本文讨论了这些初步结果的意义。