Development of a Smoking Abstinence Self-efficacy Questionnaire

Overview

Journal Int J Behav Med

Publisher Informa Healthcare

Date 2012 Feb 22

PMID 22350635

Citations 33

Authors

Viola Spek

Fieke Lemmens

Marlene Chatrou

Suzanne van Kempen

Francois Pouwer

Victor Pop

Affiliations

Soon will be listed here.

Abstract

Background: Self-efficacy beliefs are an important determinant of (changes in) health behaviors. In the area of smoking cessation, there is a need for a short, feasible, and validated questionnaire measuring self-efficacy beliefs regarding smoking cessation.

Purpose: The purpose of this study is to investigate the psychometric properties of a six-item questionnaire to assess smoking cessation self-efficacy.

Methods: We used longitudinal data from a smoking cessation study. A total of 513 smokers completed the Smoking Abstinence Self-efficacy Questionnaire (SASEQ) and questionnaires assessing depressive symptoms and motivation to quit smoking. After that, they set a quit date and attempted to stop smoking. One year after the quit date, smoking status of participants was assessed by self report. The psychometric properties of the SASEQ were studied and we investigated whether SASEQ scores predicted successful smoking cessation.

Results: Factor analysis yielded one factor, with an Eigenvalue of 3.83, explaining 64% of variance. All factor loadings were ≥0.73. We found a Cronbach's alpha of 0.89 for the SASEQ, low correlations for the SASEQ with depressive symptoms, and motivation to quit, indicating that self-efficacy is measured independently of these concepts. Furthermore, high baseline SASEQ scores significantly predicted smoking abstinence at 52 weeks after the quit date (OR = 1.85; 95% CI = 1.20~2.84).

Conclusions: The SASEQ appeared to be a short, reliable, and valid questionnaire to assess self-efficacy beliefs regarding smoking abstinence. In the present study, this instrument also had good predictive validity. The short SASEQ can easily be used in busy clinical practice to guide smoking cessation interventions.

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References

de Vries H, Backbier E . Self-efficacy as an important determinant of quitting among pregnant women who smoke: the phi-pattern. Prev Med. 1994; 23(2):167-74. DOI: 10.1006/pmed.1994.1023. View

Dijkstra A, de Vries H, Roijackers J . Computerized tailored feedback to change cognitive determinants of smoking: a Dutch field experiment. Health Educ Res. 1998; 13(2):197-206. DOI: 10.1093/her/13.2.197. View

Dijkstra A, de Vries H, Roijackers J . Targeting smokers with low readiness to change with tailored and nontailored self-help materials. Prev Med. 1999; 28(2):203-11. DOI: 10.1006/pmed.1998.0407. View

Chouinard M, Robichaud-Ekstrand S . Predictive value of the transtheoretical model to smoking cessation in hospitalized patients with cardiovascular disease. Eur J Cardiovasc Prev Rehabil. 2007; 14(1):51-8. DOI: 10.1097/HJR.0b013e328014027b. View

de Vries H, Mudde A, Dijkstra A, Willemsen M . Differential beliefs, perceived social influences, and self-efficacy expectations among smokers in various motivational phases. Prev Med. 1998; 27(5 Pt 1):681-9. DOI: 10.1006/pmed.1998.0344. View

Pop V, Komproe I, van Son M . Characteristics of the Edinburgh Post Natal Depression Scale in The Netherlands. J Affect Disord. 1992; 26(2):105-10. DOI: 10.1016/0165-0327(92)90041-4. View

Zhu S, Sun J, Billings S, Choi W, Malarcher A . Predictors of smoking cessation in U.S. adolescents. Am J Prev Med. 1999; 16(3):202-7. DOI: 10.1016/s0749-3797(98)00157-3. View

Koopmans B, Pouwer F, de Bie R, Leusink G, Denollet J, Pop V . Associations between vascular co-morbidities and depression in insulin-naive diabetes patients: the DIAZOB Primary Care Diabetes study. Diabetologia. 2009; 52(10):2056-63. PMC: 2744805. DOI: 10.1007/s00125-009-1460-2. View

Caponnetto P, Polosa R . Common predictors of smoking cessation in clinical practice. Respir Med. 2008; 102(8):1182-92. DOI: 10.1016/j.rmed.2008.02.017. View

10.

Croghan I, Ebbert J, Hurt R, Hays J, Dale L, Warner N . Gender differences among smokers receiving interventions for tobacco dependence in a medical setting. Addict Behav. 2008; 34(1):61-7. DOI: 10.1016/j.addbeh.2008.08.010. View

11.

Etter J, Bergman M, Humair J, Perneger T . Development and validation of a scale measuring self-efficacy of current and former smokers. Addiction. 2000; 95(6):901-13. DOI: 10.1046/j.1360-0443.2000.9569017.x. View

12.

Matthey S, Barnett B, Kavanagh D, Howie P . Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners. J Affect Disord. 2001; 64(2-3):175-84. DOI: 10.1016/s0165-0327(00)00236-6. View

13.

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

14.

Dijkstra A, Bakker M, de Vries H . Subtypes within a sample of precontemplating smokers: a preliminary extension of the stages of change. Addict Behav. 1997; 22(3):327-37. DOI: 10.1016/s0306-4603(96)00054-8. View

15.

Carmody T . Affect regulation, nicotine addiction, and smoking cessation. J Psychoactive Drugs. 1989; 21(3):331-42. DOI: 10.1080/02791072.1989.10472175. View

16.

Velicer W, DiClemente C, Rossi J, Prochaska J . Relapse situations and self-efficacy: an integrative model. Addict Behav. 1990; 15(3):271-83. DOI: 10.1016/0306-4603(90)90070-e. View

17.

Kinnunen T, Doherty K, Militello F, Garvey A . Depression and smoking cessation: characteristics of depressed smokers and effects of nicotine replacement. J Consult Clin Psychol. 1996; 64(4):791-8. DOI: 10.1037//0022-006x.64.4.791. View

18.

Woodruff S, Conway T, Edwards C . Sociodemographic and smoking-related psychosocial predictors of smoking behavior change among high school smokers. Addict Behav. 2007; 33(2):354-8. DOI: 10.1016/j.addbeh.2007.09.012. View

19.

Baer J, HOLT C, Lichtenstein E . Self-efficacy and smoking reexamined: construct validity and clinical utility. J Consult Clin Psychol. 1986; 54(6):846-52. DOI: 10.1037//0022-006x.54.6.846. View

20.

Baldwin A, Rothman A, Hertel A, Linde J, Jeffery R, Finch E . Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation. Health Psychol. 2006; 25(5):626-34. DOI: 10.1037/0278-6133.25.5.626. View