Department of Social and Behavioral Sciences, Temple University, Philadelphia, PA 19122, USA.
Department of Epidemiology and Biostatistics, Temple University, 1301 Cecil B. Moore Avenue, 9th Floor, Ritter Annex, Philadelphia, PA 19122, USA.
Int J Environ Res Public Health. 2023 Apr 10;20(8):5453. doi: 10.3390/ijerph20085453.
During quit attempts, smokers must overcome smoking urges triggered by environmental cues and nicotine withdrawal symptoms. This study investigates the psychometric properties of the 12-item Tobacco Urge Management Scale (TUMS), a new measure of smoking urge management behaviors.
We analyzed secondary data ( = 327) from a behavioral smoking cessation intervention trial, Kids Safe and Smokefree (KiSS).
Confirmatory factor analysis of the TUMS indicated that a one-factor model and a correlated two-factor model had similar model fit indices, and a Chi-square difference test supported the one-factor model. Further study of the parsimonious one-factor scale provided evidence of reliability and construct validity. Known group validity was evidenced by significantly higher TUMS scores in the KiSS intervention arm receiving urge management skills training than in the control arm ( < 0.001). Concurrent validity was evidenced by TUMS's inverse association with cigarettes smoked per day and positive associations with nonsmoking days, 7-day abstinence, and self-efficacy to control smoking behaviors ('s < 0.05).
The TUMS is a reliable, valid measure of smoking urge management behaviors. The measure can support theory-driven research on smoking-specific coping mechanisms, inform clinical practice by identifying coping strategies that might be under-utilized in treatment-seeking smokers, and function as a measure of treatment adherence in cessation trials that target urge management behaviors.
在戒烟尝试期间，吸烟者必须克服环境线索和尼古丁戒断症状引发的吸烟冲动。本研究调查了 12 项烟草冲动管理量表（TUMS）的心理测量特性，这是一种新的吸烟冲动管理行为测量方法。
我们分析了一项行为戒烟干预试验（KiSS）的二级数据（n=327）。
TUMS 的验证性因素分析表明，单因素模型和相关的两因素模型具有相似的模型拟合指数，卡方差异检验支持单因素模型。对简约单因素量表的进一步研究提供了可靠性和构念效度的证据。在接受冲动管理技能培训的 KiSS 干预组中，TUMS 得分明显高于对照组（<0.001），这表明了已知组的有效性。同时，TUMS 与每天吸烟量呈负相关，与不吸烟天数、7 天戒烟率和控制吸烟行为的自我效能呈正相关（<0.05），这表明了其同时具有效标效度。
TUMS 是一种可靠、有效的吸烟冲动管理行为测量方法。该测量方法可以支持针对特定于吸烟的应对机制的理论驱动研究，通过确定在寻求治疗的吸烟者中可能未被充分利用的应对策略，为临床实践提供信息，并在针对冲动管理行为的戒烟试验中作为治疗依从性的测量方法。
