Biener L, Abrams D B
Miriam Hospital/Brown University Program in Medicine.
Health Psychol. 1991;10(5):360-5. doi: 10.1037//0278-6133.10.5.360.
Presents evidence for the validity of the Contemplation Ladder, a measure of readiness to consider smoking cessation. Analyses of data collected from more than 400 smokers at two worksites before and during a 10-month intervention indicate that Ladder scores were significantly associated with reported intention to quit, number of previous quit attempts, perceived co-worker encouragement to quit, and socioeconomic status. Ladder scores predicted subsequent participation in programs designed to educate workers about their smoking habit and its contingent risks. The Ladder did not predict biochemically validated abstinence of 24 hr or more. To assess its ability to distinguish between groups known a priori to differ in readiness, we administered the Ladder to 36 participants in a clinic-based smoking cessation program. As predicted, clinic patients scored significantly higher than the workers on the Ladder. The importance of distinguishing between smokers at the lowest stages of readiness to quit is discussed.
提供了关于沉思阶梯有效性的证据，沉思阶梯是一种衡量考虑戒烟意愿的方法。对在两个工作场所的400多名吸烟者在10个月干预前后收集的数据进行分析表明，阶梯得分与报告的戒烟意愿、以往戒烟尝试次数、感知到的同事戒烟鼓励以及社会经济地位显著相关。阶梯得分预测了随后参与旨在教育工人了解其吸烟习惯及其附带风险的项目情况。该阶梯并不能预测经过生化验证的24小时或更长时间的戒烟情况。为了评估其区分已知在准备程度上存在差异的先验群体的能力，我们对一个基于诊所的戒烟项目中的36名参与者进行了沉思阶梯测试。正如预测的那样，诊所患者在沉思阶梯上的得分显著高于工人。文中讨论了区分处于最低戒烟准备阶段的吸烟者的重要性。
