Breitling Lutz Philipp, Twardella Dorothee, Raum Elke, Brenner Hermann
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, GErmany.
Psychol Addict Behav. 2009 Jun;23(2):362-7. doi: 10.1037/a0015715.
The construct of self-efficacy, which is assessed either in confidence- or temptation-related instruments, presumably predicts transitions between the transtheoretical model stages of change and ultimately smoking cessation outcome. To elucidate its predictive potential for smoking cessation in a general care setting, we examined the association of baseline scores of the situational temptations inventory with month 12 smoking status in 577 heavy smokers participating in a cluster-randomized study of physician training and financial incentives for smoking cessation in Germany. At follow-up, abstinence could be validated in 56 patients. The temptation sub- and total scores were not bivariately associated with altered odds of smoking cessation, in contrast to established predictors like the Fagerstrom test of nicotine dependence and the stages of change. They were associated with the Fagerstrom scores, but not with the stages of change. Controlling for both cessation predictors, in particular the positive/social temptation subscore was associated with quitting. Additional studies are needed to fully understand how situational temptations relate to smoking cessation outcomes and explain variance beyond that of more established predictors of cessation.
自我效能这一概念，通过与信心或诱惑相关的工具进行评估，大概可以预测跨理论模型改变阶段之间的转变以及最终的戒烟结果。为了阐明其在一般护理环境中对戒烟的预测潜力，我们在德国一项关于医生培训和戒烟经济激励的整群随机研究中，考察了577名重度吸烟者情境诱惑量表的基线分数与12个月时吸烟状态的关联。在随访时，56名患者的戒烟情况得到了验证。与尼古丁依赖的法格斯特龙测试和改变阶段等既定预测因素不同，诱惑子分数和总分与戒烟几率的改变并无双变量关联。它们与法格斯特龙分数相关，但与改变阶段无关。在控制了这两个戒烟预测因素后，尤其是积极/社交诱惑子分数与戒烟有关。需要进一步的研究来全面了解情境诱惑与戒烟结果之间的关系，并解释除了更成熟的戒烟预测因素之外的变异情况。
