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戒烟尝试过程中的日常掌控感和自我效能变化:两项研究。

Day-to-day mastery and self-efficacy changes during a smoking quit attempt: Two studies.

机构信息

Freie Universität Berlin, Germany.

MSB Medical School Berlin, Germany.

出版信息

Br J Health Psychol. 2018 May;23(2):371-386. doi: 10.1111/bjhp.12293. Epub 2018 Jan 15.

Abstract

OBJECTIVE

In social-cognitive theory, it is hypothesized that mastery experiences (successfully implementing behaviour change) are a source of self-efficacy, and self-efficacy increases the opportunity for experiencing mastery. Vicarious experiences (seeing others succeed) are suggested as another source of self-efficacy. However, the hypothesis of this reciprocal relationship has not been tested using a day-to-day design.

DESIGN

This article reports findings from two intensive longitudinal studies, testing the reciprocal relationship of self-efficacy and its two main sources within the naturally occurring process of quitting smoking (without intervention). Smokers (Study 1: N = 100 smokers in smoker-non-smoker couples (1,787 observations); Study 2; N = 81 female (1,401 observations) and N = 79 male smokers (1,328 observations) in dual-smoker couples) reported their mastery experiences (not smoking the entire day; in Study 2, mastery experience of partner served as vicarious experience) and smoking-specific self-efficacy for 21 days after a self-set quit date.

METHODS

Time-lagged multilevel analyses were conducted using change-predicting-change models.

RESULTS

Increases in mastery experiences predicted changes in self-efficacy, and increases in self-efficacy predicted changes in mastery experiences in Study 1. Study 2 replicated these results and showed contagion effects (partners' mastery on individuals' mastery and partners' self-efficacy on individuals' self-efficacy), but found no evidence for a link between vicarious experiences (partners' mastery experiences) and individuals' self-efficacy.

CONCLUSIONS

This article demonstrates that mastery experiences and self-efficacy show a reciprocal relationship within smokers during a quit attempt in a day-to-day design, as well as contagion effects in couples when both partners try to quit simultaneously. Statement of Contribution What is already known on this subject? Self-efficacy is one of the strongest correlates of quitting smoking. Despite the assumptions on how self-efficacy is built formulated by Bandura two decades ago, there is only little empirical evidence on the origins of self-efficacy. The open research questions for these two studies were whether mastery experiences (experiencing success with the new behavior) and vicarious experiences (seeing others succeed) facilitate the smoking cessation process, whether mastery experiences and self-efficacy affect one another reciprocally and whether intimate partners serve as role models for each other. What does this study add? Mastery experiences and self-efficacy are mutually depended on a day-to-day basis within the smoking cessation process. Effects of mastery experiences fade rapidly, indicating that constant successes are needed to keep up self-efficacy. Dual-smoker couples show similar changes in a contagious way - if mastery experiences increase in one person, mastery experiences increase in the partner; if self-efficacy increases in one person, self-efficacy increases in the partner, too. No support for vicarious experiences (mastery experiences in one person affecting self-efficacy in the partner and vice versa) as sources of self-efficacy in the quitting process was found.

摘要

目的

在社会认知理论中,假设掌握经验(成功实施行为改变)是自我效能感的一个来源,而自我效能感增加了获得掌握经验的机会。替代经验(看到他人成功)被认为是自我效能感的另一个来源。然而,这种互惠关系的假设尚未通过日常设计进行测试。

设计

本文报告了两项强化纵向研究的结果,在没有干预的情况下,自然戒烟过程中(不干预)自我效能及其两个主要来源的互惠关系进行了测试。吸烟者(研究 1:100 名吸烟者,在吸烟者-非吸烟者夫妇中(1787 次观察);研究 2;女性(1401 次观察)和男性(1328 次观察)各 79 名双重吸烟者夫妇中)报告了他们的掌握经验(全天不吸烟;在研究 2 中,伴侣的掌握经验充当了替代经验)和特定于吸烟的戒烟效能感,为期 21 天。

方法

使用变化预测变化模型进行时间滞后多层分析。

结果

在研究 1 中,掌握经验的增加预测了自我效能感的变化,自我效能感的增加预测了掌握经验的变化。研究 2 复制了这些结果,并显示了传染效应(伴侣的掌握对个体的掌握和伴侣的自我效能感对个体的自我效能感),但没有证据表明替代经验(伴侣的掌握经验)与个人自我效能感之间存在联系。

结论

本文表明,在日常设计中,吸烟者在戒烟尝试期间,掌握经验和自我效能感之间存在相互关系,以及当两个伴侣同时试图戒烟时,夫妻之间存在传染效应。

关于这个主题已经知道了什么?

自我效能感是戒烟的最强相关因素之一。尽管班杜拉二十年前就提出了关于自我效能感是如何建立的假设,但关于自我效能感的起源只有很少的实证证据。这两项研究的开放性研究问题是,掌握经验(新行为的成功经验)和替代经验(看到他人成功)是否有助于戒烟过程,掌握经验和自我效能感是否相互影响,以及亲密伴侣是否相互作为榜样。

这项研究增加了什么?

在戒烟过程中,掌握经验和自我效能感在日常基础上相互依赖。掌握经验的效果迅速减弱,这表明需要不断取得成功才能保持自我效能感。双重吸烟者夫妇以传染的方式显示出相似的变化——如果一个人的掌握经验增加,伴侣的掌握经验也会增加;如果一个人的自我效能感增加,伴侣的自我效能感也会增加。在戒烟过程中,没有发现替代经验(一个人的掌握经验影响伴侣的自我效能感,反之亦然)作为自我效能感的来源的支持。

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