Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?

Segan, C, Borland, R and Greenwood, K 2006, 'Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?', Addictive Behaviors, vol. 31, no. 3, pp. 414-428.


Document type: Journal Article
Collection: Journal Articles

Title Can transtheoretical model measures predict relapse from the action stage of change among ex-smokers who quit after calling a quitline?
Author(s) Segan, C
Borland, R
Greenwood, K
Year 2006
Journal name Addictive Behaviors
Volume number 31
Issue number 3
Start page 414
End page 428
Total pages 15
Publisher Pergamon
Abstract This study explored whether transtheoretical model (TTM) measures could predict relapse from the action stage, i.e., during the first 6 months of smoking cessation. Predictors of relapse were examined between time 2 (3-month) and time 3 (6-month) assessments (n = 247), and also between time 3 (6-month) and time 4 (12-month) assessments (n = 204). Consistent predictors of relapse included lower self-efficacy and determination to quit and higher temptations to smoke. Some predictors of relapse changed according to how long a person had already been quit for. Contrary to the TTM, greater behavioral change process use predicted relapse among people who had already quit for less than a month, and did not prevent relapse among those who had already quit for a month or more between time 2 and time 3. Cross-sectional analyses showed significant decreases in temptations to smoke and in the use of some of the change processes, which stabilised at about 1 month post-cessation. The findings suggest that there may be a stage boundary at around 1 month post-cessation, and question the homogeneity, and hence validity, of the TTM-defined action stage of change.
Subject Health, Clinical and Counselling Psychology
Keyword(s) Relapse prevention
Transtheoretical model
Smoking cessation
Stages of change
Processes of change
DOI - identifier 10.1016/j.addbeh.2005.05.023
Copyright notice © 2005 Elsevier
ISSN 0306-4603
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