Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder
Kelsey Miskimins, Amanda Kaufmann, David AF Haaga Department of Psychology, American University, Washington, DC, USACorrespondence: David AF Haaga, Department of Psychology, Asbury Building, American University, 4400 Massachusetts Ave. NW, Washington, DC, 20016-8062, USA, Tel +1-202-885-1718, Fax +1...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-12-01
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| Series: | Substance Abuse and Rehabilitation |
| Subjects: | |
| Online Access: | https://www.dovepress.com/comparative-analysis-of-alternate-measures-of-readiness-to-quit-smokin-peer-reviewed-fulltext-article-SAR |
| _version_ | 1797401172163690496 |
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| author | Miskimins K Kaufmann A Haaga DAF |
| author_facet | Miskimins K Kaufmann A Haaga DAF |
| author_sort | Miskimins K |
| collection | DOAJ |
| description | Kelsey Miskimins, Amanda Kaufmann, David AF Haaga Department of Psychology, American University, Washington, DC, USACorrespondence: David AF Haaga, Department of Psychology, Asbury Building, American University, 4400 Massachusetts Ave. NW, Washington, DC, 20016-8062, USA, Tel +1-202-885-1718, Fax +1-202-885-1023, Email dhaaga@american.eduPurpose: Two methods of operationalizing readiness to quit smoking have been used extensively in prior research. An algorithm derived from the transtheoretical model classifies current smokers in distinct stages of precontemplation (not intending to quit in next 6 months), contemplation (serious intent to quit within 6 months), and preparation (serious intent to quit within 30 days). The Contemplation Ladder (CL) is a single-item continuous (0– 10) rating. The current study, a secondary analysis of a clinical trial testing a method of inducing quit attempts, examined the convergent validity, one-month retest reliability, and predictive validity (for quit attempts) of the CL and the stages of change algorithm.Patients and Methods: Adult daily smokers (≥ 10 cigarettes/day; N = 278) completed the CL and stage of change algorithm measures and underwent an experimental manipulation intended to induce quit attempts. Four weeks later they completed the same measures and reported on whether they had attempted to quit smoking in the interim.Results: The CL and the staging algorithm showed strong convergent validity, with intercorrelations of 0.50 and 0.51 at baseline and follow-up assessments. Retest reliability was similar for each measure (CL r = 0.52; stage of change r = 0.57). Each showed predictive validity in that smokers who went on to make a quit attempt had scored significantly higher at baseline in readiness to quit.Conclusion: Researchers and clinicians can reasonably choose either measure of readiness to quit smoking with confidence that the results would parallel what would have been obtained with the other.Keywords: smoking, assessment, contemplation, cessation |
| first_indexed | 2024-03-09T02:06:00Z |
| format | Article |
| id | doaj.art-c7de605384ba47acbcefcd2265a37607 |
| institution | Directory Open Access Journal |
| issn | 1179-8467 |
| language | English |
| last_indexed | 2024-03-09T02:06:00Z |
| publishDate | 2023-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Substance Abuse and Rehabilitation |
| spelling | doaj.art-c7de605384ba47acbcefcd2265a376072023-12-07T18:03:42ZengDove Medical PressSubstance Abuse and Rehabilitation1179-84672023-12-01Volume 1416717188863Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation LadderMiskimins KKaufmann AHaaga DAFKelsey Miskimins, Amanda Kaufmann, David AF Haaga Department of Psychology, American University, Washington, DC, USACorrespondence: David AF Haaga, Department of Psychology, Asbury Building, American University, 4400 Massachusetts Ave. NW, Washington, DC, 20016-8062, USA, Tel +1-202-885-1718, Fax +1-202-885-1023, Email dhaaga@american.eduPurpose: Two methods of operationalizing readiness to quit smoking have been used extensively in prior research. An algorithm derived from the transtheoretical model classifies current smokers in distinct stages of precontemplation (not intending to quit in next 6 months), contemplation (serious intent to quit within 6 months), and preparation (serious intent to quit within 30 days). The Contemplation Ladder (CL) is a single-item continuous (0– 10) rating. The current study, a secondary analysis of a clinical trial testing a method of inducing quit attempts, examined the convergent validity, one-month retest reliability, and predictive validity (for quit attempts) of the CL and the stages of change algorithm.Patients and Methods: Adult daily smokers (≥ 10 cigarettes/day; N = 278) completed the CL and stage of change algorithm measures and underwent an experimental manipulation intended to induce quit attempts. Four weeks later they completed the same measures and reported on whether they had attempted to quit smoking in the interim.Results: The CL and the staging algorithm showed strong convergent validity, with intercorrelations of 0.50 and 0.51 at baseline and follow-up assessments. Retest reliability was similar for each measure (CL r = 0.52; stage of change r = 0.57). Each showed predictive validity in that smokers who went on to make a quit attempt had scored significantly higher at baseline in readiness to quit.Conclusion: Researchers and clinicians can reasonably choose either measure of readiness to quit smoking with confidence that the results would parallel what would have been obtained with the other.Keywords: smoking, assessment, contemplation, cessationhttps://www.dovepress.com/comparative-analysis-of-alternate-measures-of-readiness-to-quit-smokin-peer-reviewed-fulltext-article-SARsmokingassessmentcontemplationcessation. |
| spellingShingle | Miskimins K Kaufmann A Haaga DAF Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder Substance Abuse and Rehabilitation smoking assessment contemplation cessation. |
| title | Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder |
| title_full | Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder |
| title_fullStr | Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder |
| title_full_unstemmed | Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder |
| title_short | Comparative Analysis of Alternate Measures of Readiness to Quit Smoking: Stages of Change and the Contemplation Ladder |
| title_sort | comparative analysis of alternate measures of readiness to quit smoking stages of change and the contemplation ladder |
| topic | smoking assessment contemplation cessation. |
| url | https://www.dovepress.com/comparative-analysis-of-alternate-measures-of-readiness-to-quit-smokin-peer-reviewed-fulltext-article-SAR |
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