Predictors of adolescent smoking cessation and smoking reduction.
- Haug S Swiss Research Institute for Public Health and Addiction at Zurich University, Zurich, Switzerland. Electronic address: severin.haug@isgf.uzh.ch.
- Schaub MP Swiss Research Institute for Public Health and Addiction at Zurich University, Zurich, Switzerland.
- Schmid H University of Applied Sciences and Arts Northwestern Switzerland, Olten, Switzerland.
- 2014-03-29
Published in:
- Patient education and counseling. - 2014
Adolescents
Predictors
Smoking cessation
Young people
Adolescent
Adult
Case-Control Studies
Cognitive Behavioral Therapy
Female
Forecasting
Humans
Male
Retrospective Studies
Smoking
Smoking Cessation
Switzerland
Text Messaging
Tobacco Use Disorder
Treatment Outcome
English
OBJECTIVE
To investigate the processes of change, demographic, health- and smoking-related predictors of both smoking cessation and smoking reduction in adolescents.
METHODS
Data were drawn from a sample of 755 adolescent smokers who participated in a study testing the efficacy of a text messaging-based intervention for smoking cessation. Demographic, health- and smoking-related variables were assessed at baseline. Five processes of smoking cessation, derived from the Transtheoretical Model and the Social Cognitive Theory, as well as outcome measures were assessed at 6-month follow up. Univariate and multivariate regression analyses were conducted to identify baseline and process variables to predict smoking abstinence and smoking reduction.
RESULTS
Male gender (OR=0.43, p<.01), lower alcohol consumption (OR=0.90, p=.05) and a lower number of cigarettes smoked per day at baseline (OR=0.87, p<.01) predicted smoking abstinence. Baseline physical activity predicted smoking reduction (OR=1.04, p=.03). None of the examined process variables significantly predicted smoking abstinence. The process variable "counter-conditioning" predicted smoking reduction (OR=1.46, p=.03).
CONCLUSIONS
Baseline predictors of smoking cessation differ from predictors of smoking reduction. Dynamic or modifiable variables play an important role in predicting adolescent smoking cessation.
PRACTICE IMPLICATIONS
Counter-conditioning might be an important element in adolescent smoking cessation interventions.
To investigate the processes of change, demographic, health- and smoking-related predictors of both smoking cessation and smoking reduction in adolescents.
METHODS
Data were drawn from a sample of 755 adolescent smokers who participated in a study testing the efficacy of a text messaging-based intervention for smoking cessation. Demographic, health- and smoking-related variables were assessed at baseline. Five processes of smoking cessation, derived from the Transtheoretical Model and the Social Cognitive Theory, as well as outcome measures were assessed at 6-month follow up. Univariate and multivariate regression analyses were conducted to identify baseline and process variables to predict smoking abstinence and smoking reduction.
RESULTS
Male gender (OR=0.43, p<.01), lower alcohol consumption (OR=0.90, p=.05) and a lower number of cigarettes smoked per day at baseline (OR=0.87, p<.01) predicted smoking abstinence. Baseline physical activity predicted smoking reduction (OR=1.04, p=.03). None of the examined process variables significantly predicted smoking abstinence. The process variable "counter-conditioning" predicted smoking reduction (OR=1.46, p=.03).
CONCLUSIONS
Baseline predictors of smoking cessation differ from predictors of smoking reduction. Dynamic or modifiable variables play an important role in predicting adolescent smoking cessation.
PRACTICE IMPLICATIONS
Counter-conditioning might be an important element in adolescent smoking cessation interventions.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1016/j.pec.2014.03.004
- PMID 24674150
- Persistent URL
- https://sonar.ch/global/documents/263262
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