Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial
Background Telephone-based smoking cessation services ('quitlines') are both effective and cost-effective. Knowledge of modifiable baseline factors in real-life settings with heterogeneous participants is essential for the development and improvement of treatment protocols to assist in te...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2018-03-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Self-perceived-ability-to-cope-with-stress-without-smoking-predicts-successful-smoking,83845,0,2.html |
| _version_ | 1819024774342377472 |
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| author | Eva Nohlert John Öhrvik Ásgeir R Helgason |
| author_facet | Eva Nohlert John Öhrvik Ásgeir R Helgason |
| author_sort | Eva Nohlert |
| collection | DOAJ |
| description | Background
Telephone-based smoking cessation services ('quitlines') are both effective and cost-effective. Knowledge of modifiable baseline factors in real-life settings with heterogeneous participants is essential for the development and improvement of treatment protocols to assist in telephone-based smoking cessation. The aim was to assess self-efficacy as a predictor for abstinence at the 12-month follow-up at the Swedish National Tobacco Quitline (SNTQ).
Methods
The data were collected from a randomized controlled trial comparing the effectiveness of proactive and reactive service at the SNTQ. Included were 612 clients calling the SNTQ between February 2009 and September 2010. Outcome measures were self-reported point prevalence and 6-month continuous abstinence at the 12-month follow-up. Plausible predictors of smoking cessation were assessed at the first call and in a baseline questionnaire. Self-efficacy was measured by three questions: (1) the likelihood of being smoking free in 1 year; (2) the ability to handle stress and depressive mood without smoking; and (3) the likelihood of using medication against craving if necessary. The associations between predictors and outcome were subjected to logistic regression analysis.
Results
Of the three self-efficacy predictors for abstinence at month 12, only the perceived ability to handle stress and depressive mood without smoking remained significant in the adjusted analyses (odds ratio, OR, 1.1 for point prevalence and 1.2 for 6-month continuous abstinence). The overall strongest predictor in the adjusted analyses was smoking status in the week before baseline (OR 2.7 for point prevalence and 3.1 for 6-month continuous abstinence).
Conclusions
The perceived ability to handle stress and depressive mood without smoking at baseline predicted the subjects' abstinence at the 12-month follow-up. An assessment of/adjustment for stress and depressive mood may be appropriate in future smoking cessation research. |
| first_indexed | 2024-12-21T05:00:08Z |
| format | Article |
| id | doaj.art-311940a723dd4c4bba3195fc51dadb9c |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T05:00:08Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-311940a723dd4c4bba3195fc51dadb9c2022-12-21T19:15:15ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8384583845Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trialEva Nohlert0John Öhrvik1Ásgeir R Helgason2Centre for Clinical Research, Uppsala University, SwedenCentre for Clinical Research, Uppsala University, SwedenKarolinska Institutet, Department of Public Health Sciences, Social Medicine, SwedenBackground Telephone-based smoking cessation services ('quitlines') are both effective and cost-effective. Knowledge of modifiable baseline factors in real-life settings with heterogeneous participants is essential for the development and improvement of treatment protocols to assist in telephone-based smoking cessation. The aim was to assess self-efficacy as a predictor for abstinence at the 12-month follow-up at the Swedish National Tobacco Quitline (SNTQ). Methods The data were collected from a randomized controlled trial comparing the effectiveness of proactive and reactive service at the SNTQ. Included were 612 clients calling the SNTQ between February 2009 and September 2010. Outcome measures were self-reported point prevalence and 6-month continuous abstinence at the 12-month follow-up. Plausible predictors of smoking cessation were assessed at the first call and in a baseline questionnaire. Self-efficacy was measured by three questions: (1) the likelihood of being smoking free in 1 year; (2) the ability to handle stress and depressive mood without smoking; and (3) the likelihood of using medication against craving if necessary. The associations between predictors and outcome were subjected to logistic regression analysis. Results Of the three self-efficacy predictors for abstinence at month 12, only the perceived ability to handle stress and depressive mood without smoking remained significant in the adjusted analyses (odds ratio, OR, 1.1 for point prevalence and 1.2 for 6-month continuous abstinence). The overall strongest predictor in the adjusted analyses was smoking status in the week before baseline (OR 2.7 for point prevalence and 3.1 for 6-month continuous abstinence). Conclusions The perceived ability to handle stress and depressive mood without smoking at baseline predicted the subjects' abstinence at the 12-month follow-up. An assessment of/adjustment for stress and depressive mood may be appropriate in future smoking cessation research.http://www.journalssystem.com/tid/Self-perceived-ability-to-cope-with-stress-without-smoking-predicts-successful-smoking,83845,0,2.htmlWCTOH |
| spellingShingle | Eva Nohlert John Öhrvik Ásgeir R Helgason Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial Tobacco Induced Diseases WCTOH |
| title | Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial |
| title_full | Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial |
| title_fullStr | Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial |
| title_full_unstemmed | Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial |
| title_short | Self-perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting: a randomized trial |
| title_sort | self perceived ability to cope with stress without smoking predicts successful smoking cessation 12 months later in a quitline setting a randomized trial |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/Self-perceived-ability-to-cope-with-stress-without-smoking-predicts-successful-smoking,83845,0,2.html |
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