Do Transtheoretical Model Measures Predict the Transition from Preparation to Action in Smoking Cessation?
- 1 January 2002
- journal article
- research article
- Published by Taylor & Francis in Psychology & Health
- Vol. 17 (4) , 417-435
- https://doi.org/10.1080/0887044022000004911
Abstract
This study tested the predictive value of the Transtheoretical Model (TTM) for the preparation to action stage transition by conducting a detailed examination of changes in TTM components in the days leading up to, and following, a planned quit attempt. Participants were 193 callers to a Quitline telephone service. Only limited support for the TTM was found. Consistent with the TTM, measures of self-efficacy were related to making an attempt and to achieving 7 + days of abstinence. Contrary to the TTM, the behavioral change processes were unrelated to making quit attempts and to short-term abstinence, with the exception of self-liberation, which is conceptually related to self-efficacy. New non-TTM measures assessing commitment to quitting were predictive of outcomes. The results provide strong support for the preparation to action transition being discontinuous, and thus consistent with a stage model. However, they bring into question many of the other postulates of the TTM. Further critical testing and evaluation of the TTM is required.Keywords
This publication has 34 references indexed in Scilit:
- Matched and mismatched interventions with young adult smokers: Testing a stage theory.Health Psychology, 2000
- Interactive versus noninteractive interventions and dose–response relationships for stage-matched smoking cessation programs in a managed care setting.Health Psychology, 1999
- Predicting stage transitions for smoking cessation applying the attitude-social influence-efficacy modelPsychology & Health, 1998
- Telephone counseling for smoking cessation: Effects of single-session and multiple-session interventions.Journal of Consulting and Clinical Psychology, 1996
- The Transtheoretical Model of Change and HIV Prevention: A ReviewHealth Education Quarterly, 1994
- Stages of change and decisional balance for 12 problem behaviors.Health Psychology, 1994
- The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change.Journal of Consulting and Clinical Psychology, 1991
- Measuring processes of change: Applications to the cessation of smoking.Journal of Consulting and Clinical Psychology, 1988
- Self-efficacy and the stages of self-change of smokingCognitive Therapy and Research, 1985
- Decisional balance measure for assessing and predicting smoking status.Journal of Personality and Social Psychology, 1985