Jradi Hoda, Wewers Mary Ellen, Pirie Phyllis P, Binkley Philip F, Ferketich Amy K
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, National Guard Health Affairs, King Abdulaziz Medical City, P.O. Box 22490, Mail Code 2350, Riyadh 11426, Saudi Arabia.
College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, National Guard Health Affairs, King Abdulaziz Medical City, P.O. Box 22490, Mail Code 2350, Riyadh 11426, Saudi Arabia.
J Epidemiol Glob Health. 2015 Jun;5(2):117-23. doi: 10.1016/j.jegh.2014.05.003. Epub 2014 Sep 6.
Objectives of this study were to examine the constructs of the Theory of Planned Behavior and determine how they predict Lebanese medical students' behavioral intention to advise patients to quit smoking.
This was a cross-sectional study conducted among 191 medical students from six medical schools in Lebanon.
The instrument contained scales that measured attitudes toward the behavior, behavioral beliefs, subjective norms, and perceived behavioral control. Psychometric properties of the scale were examined. Item to total scale score correlations were determined and linear regression was conducted to predict the intention to advise smokers to quit.
Respondents had a positive, but not very high, intention to deliver smoking cessation advice. Students reported a positive attitude toward advising patients to quit cigarette smoking and a strong belief in the physician's obligations in smoking cessation advising. The majority reported lack of time to provide smoking cessation advice, insufficient knowledge of pharmacological aids, and the lack of openness of the patient to receive the advice. The attitude scale was the only variable that yielded a significant prediction of the intended behavior.
The construct of attitude toward the behavior appeared to be the most predictive of the intention to deliver advice to quit smoking among Lebanese medical students. Focusing training efforts on this construct could improve the rate of delivery of brief cessation counseling.
本研究的目的是检验计划行为理论的构成要素，并确定它们如何预测黎巴嫩医学生建议患者戒烟的行为意向。
这是一项横断面研究，对黎巴嫩六所医学院的191名医学生进行了调查。
该工具包含测量对行为的态度、行为信念、主观规范和感知行为控制的量表。对量表的心理测量特性进行了检验。确定了项目与总量表得分的相关性，并进行了线性回归以预测建议吸烟者戒烟的意向。
受访者有积极但不是很高的提供戒烟建议的意向。学生们对建议患者戒烟持积极态度，并坚信医生在戒烟建议方面的义务。大多数人报告说没有时间提供戒烟建议，对药物辅助手段的知识不足，以及患者对接受建议缺乏开放性。态度量表是唯一对预期行为产生显著预测作用的变量。
在黎巴嫩医学生中，对行为的态度这一构成要素似乎最能预测提供戒烟建议的意向。将培训重点放在这一构成要素上可以提高简短戒烟咨询的提供率。
