Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-19T11:54:54.820Z Has data issue: false hasContentIssue false

Do Couple-Focused Cessation Messages Increase Motivation to Quit Among Dual-Smoker Couples?

Published online by Cambridge University Press:  28 June 2018

Michelle R. vanDellen*
Affiliation:
Department of Psychology, University of Georgia, Athens, Georgia
Megan A. Lewis
Affiliation:
Patient & Family Engagement Research, RTI International, Seattle, Washington
Benjamin A. Toll
Affiliation:
Public Health Sciences, Medical University of South Carolina and Hollings Cancer Center, Charleston, South Carolina
Isaac M. Lipkus
Affiliation:
School of Nursing, Duke University, Durham, North Carolina
*
Address for correspondence: Michelle R. vanDellen, Department of Psychology, University of Georgia, Athens, GA 30602. Email: mvd@uga.edu

Abstract

Introduction: Dual-smoker couples are a highly prevalent group who report low motivation to quit smoking.

Aims: This study tested the effect of a messaging intervention (couples- vs. individual-focused smoking outcomes) on motivation to quit among dual-smoker couples and examined the moderating effect of perceived support.

Methods: A total of 202 individuals in 101 dual-smoker couples were randomized by dyad using a 2 (frame: gain/loss) by 2 (outcome focus: individual/couple) factorial design. Participants reviewed scenarios of either positive or negative outcomes of quitting versus not quitting as they applied to either the individual or the couple. Participants then reported their own motivation to quit and motivation for their partner to quit. The main outcome was motivation to quit smoking.

Results: No main effects of framing or message focus emerged. Significant interactions between message focus and negative support predicted motivation for self and partner to quit. Individuals who reported lower negative support reported greater motivation for self to quit and less motivation for partner to quit after reviewing couple- (vs. individual-) focused messages.

Conclusions: Individuals in dual-smoker couples typically report low motivation to quit smoking. Couple-focused messages may increase motivation to quit among individuals who are not receiving negative support from their partners.

Type
Original Articles
Copyright
Copyright © The Author(s) 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carlson, L. E., Goodey, E., Bennett, M. H., Taenzer, P., & Koopmans, J. (2002). The addition of social support to a community-based large-group behavioral smoking cessation intervention: Improved cessation rates and gender differences. Addictive Behaviors, 27, 547559. doi:10.1016/S0306-4603(01)00192-7.Google Scholar
Clark, M. S., & Mills, J. R. (2012). A theory of communal (and exchange) relationships. In Lange, P. A. M. Van, Kruglanski, A. W., & Higgins, E. T. (Eds.), Handbook of theories of social psychology: Volume Two (pp. 232250). California: SAGE Publications.Google Scholar
Cobb, L. K., McAdams-DeMarco, M. A., Huxley, R. R., Woodward, M., Koton, S., Coresh, J. et al. (2014). The association of spousal smoking status with the ability to quit smoking: The atherosclerosis risk in communities study. American Journal of Epidemiology, 179, 11821187. doi:10.1093/aje/kwu041.Google Scholar
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Mahwah, NJ: Erlbaum.Google Scholar
Cohen, S., Gottlieb, B., & Underwood, L. (Eds.) (2000). Measuring and intervening in social support. New York, NY: Oxford University Press.Google Scholar
Cohen, S., & Lichtenstein, E. (1990). Partner behaviors that support quitting smoking. Journal of Consulting and Clinical Psychology, 58, 304309. doi:10.1037/0022-006X.58.3.304.Google Scholar
Craddock, E., vanDellen, M. R., Novak, S. A., & Ranby, K. W. (2015). Influence in relationships: A meta-analysis on health-related social control. Basic and Applied Social Psychology, 37, 118130. doi:10.1080/01973533.2015.1011271.Google Scholar
Doherty, W. J., & Whitehead, D. A. (1986). The social dynamics of cigarette smoking: A family systems perspective. Family Processes, 25, 453459. doi:10.1111/j.1545-5300.1968.00453.Google Scholar
Ferguson, J., Bauld, L., Chesterman, J., & Judge, K. (2005). The English smoking treatment services: One year outcomes. Addiction, 100 (Suppl. 2), 5969. doi:10.1111/j.13600443.2005.01028.x.Google Scholar
Finkel, E. J., & Fitzsimons, G. M., & vanDellen, M. R. (2016). Self-regulation as a transactive process: Reconceptualizing the unit of analysis for goal setting, pursuit, and outcomes. In Vohs, K. D., & Baumeister, R. F. (Eds.), Handbook of self-regulation (3rd ed.). New York: Guilford.Google Scholar
Fitzsimons, G. M., Finkel, E. J., & vanDellen, M. R. (2015). Transactive goal dynamics. Psychological Review, 122, 648673. doi:10.1037/a0039654.Google Scholar
Garvey, A. J., Bliss, R. E., Hitchcock, J. L., Heinold, J. W., & Rosner, B. (1992). Predictors of smoking relapse among self-quitters: A report from the Normative Aging Study. Addictive Behaviors, 17, 367377. doi:10.1016/0306-4603(92)90042-T.Google Scholar
Homish, G. G., & Leonard, K. E. (2005). Spousal influence on smoking behaviors in a US community of newly married couples. Social Science & Medicine, 61, 25572567. doi:10.1016/j.socscimed.2005.05.005.Google Scholar
Ingersoll-Dayton, B., Morgan, D., & Antonucci, T. (1997) The effects of positive and negative social exchanges on aging adults. Journal of Gerontology B-Psychological and Social Sciences, 52, S190–S199. doi:10.1093/geronb/52b.4.s190.Google Scholar
Jackson, S. E., Steptoe, A., & Wardle, J. (2015). The influence of partner's behavior on health behavior change: The English longitudinal study of ageing. JAMA Internal Medicine, 175, 385392. doi:10.1001/jamainternmed.2014.7554.Google Scholar
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). The Analysis of Dyadic Data. New York, NY: Guilford Press.Google Scholar
Knoll, N., Burkert, S., Scholz, U., Roigas, J., & Gralla, O. (2011). The dual-effects model of social control revisited: Relationship satisfaction as a moderator. Anxiety, Stress, & Coping, 25, 291307. doi:10.1080.10615806.2011.584188.Google Scholar
Lepore, S. J., Allen, K. A., & Evans, G. W (1993). Social support lowers cardiovascular reactivity to an acute stressor. Psychosomatic Medicine, 55, 518524. doi:10.1097/00006842-199311000-00007.Google Scholar
Lewis, M. A., McBride, C. M., Pollak, K. I., Puleo, E., Butterfield, R. M., & Emmons, K. M. (2006). Understanding health behavior change among couples: An interdependence and communal coping approach. Social Science & Medicine, 62, 13691380. doi:10.1016/j.socscimed.2005.08.006.Google Scholar
Lewis, M., & Rook, K. (1999). Social control in personal relationships: Impact on health behaviors and psychological distress. Health Psychology, 18, 6371. doi: 10.1037/0278-6133.18.1.63.Google Scholar
Lipkus, I. M., Ranby, K. W., Lewis, M. A., & Toll, B. (2013). Reactions to framing of cessation messages: Insights from dual-smoker couples. Nicotine & Tobacco Research, 15, 20222028. doi:10.1093/ntr/ntt091.Google Scholar
Lüscher, J., & Scholz, U. (2017). Does social support predict smoking abstinence in dual-smoker couples? Evidence from a dyadic approach. Anxiety, Stress, & Coping, 30, 273281. doi:10.1080/10615806.2016.1270448.Google Scholar
Lüscher, J., Stadler, G., & Scholz, U. (2017). A daily diary study of joint quit attempts by dual-smoker couples: The role of received and provided social support. Nicotine & Tobacco Research, 13, 100107. doi:10.1093/ntr/ntx079.Google Scholar
McBride, C. M., Curry, S. J., Grothaus, L. C., Nelson, J. C., Lando, H., & Pirie, P. L. (1998). Partner smoking status and pregnant smoker's perceptions of support for and likelihood of smoking cessation. Health Psychology, 17, 6369. doi:10.1037/0278-6133.17.1.63Google Scholar
Murray, R. P., Johnston, J. J., Dolce, J. J., Lee, W. W., & O'Hara, P. (1995). Social support for smoking cessation and abstinence: The lung health study. Addictive Behaviors, 20, 159170.Google Scholar
Newsom, J. T., Rook, K. S., Nishishiba, M., Sorkin, D. H., & Mahan, T. L. (2005). Understanding the relative importance of positive and negative social exchanges: Examining specific domains and appraisals. Journal of Gerontology: Psychological Sciences B, 60, P304P312. doi:10.1093/geronb/60.6.P304Google Scholar
Nyborg, K. F., & Nevid, J. S. (1986). Couples who smoke: A comparison of couples training versus individual training for smoking cessation. Behavior Therapy, 17, 620625. doi:10.1016/S0005-7894(86)80099-5.Google Scholar
Ranby, K. W., Lewis, M. A., Toll, B. A., Rohrbaugh, M. J., & Lipkus, I. M. (2013). Perceptions of smoking-related risk and worry among dual-smoker couples. Nicotine & Tobacco Research, 15, 734738. doi:10.1093/ntr/nts210.Google Scholar
Roski, J., Schmid, L. A., & Lando, H. A. (1996). Long-term associations of helpful and harmful spousal behaviors with smoking cessation. Addictive Behaviors, 21, 173185. doi:10.1016/0306-4603(95)00047-X.Google Scholar
Shoham, V., Rohrbaugh, M. J., Trost, S. E., & Muramoto, M. (2006). A family consultation intervention for health-compromised smokers. Journal of Substance Abuse Treatment, 31, 395–40. doi:10.1016/j.sat.2006.05.012.Google Scholar
Toll, B. A., O'Malley, S. S., Katulak, N. A., Wu, R., Dubin, J. A., Latimer, A. et al. (2007). Comparing gain- and loss-framed messages for smoking cessation with sustained-release bupropion: A randomized controlled trial. Psychology of Addictive Behaviors, 21, 534544. doi:10.1037/0893-164X.21.4.534Google Scholar
Toll, B. A., Rojewski, A. M., Duncan, L., Latimer, A. E., Fucito, L. M., Boyer, J. et al. (2014). “Quitting smoking will benefit your health”: The evolution of clinician messaging to encourage tobacco cessation. Published as part of the AACR's commemoration of the 50th Anniversary of the Surgeon General's Report on Smoking and Health. Clinical Cancer Research, 20, 301309. doi:10.1158/1078-0432Google Scholar
Tooley, E. M., & Borrelli, B. (2017). Characteristics of cigarette smoking in individual in smoking concordant and smoking discordant couples. Couple and Family Psychology: Research and Practice, 6, 106116.Google Scholar
Tucker, J. S., Orlando, M., Elliott, M. N., & Klein, D. J. (2006). Affective and behavioral responses to health-related social control. Health Psychology, 25, 715722. doi:10.1037/0278-6133.25.6.715Google Scholar
vanDellen, M. R., Boyd, S. M., Ranby, K. W., MacKillop, J., & Lipkus, I. (2016). Willingness to support partner's smoking cessation: A study of partners of smokers. Journal of Health Psychology, 21, 18401849. doi:10.1177/1359105314567209.Google Scholar
Van Lange, P. A. M., Rusbult, C. E., Drigotas, S. M., Arriaga, X. E., Witcher, B. S., & Cox, C. L. (1997). Willingness to sacrifice in close relationships. Journal of Personality and Social Psychology, 72, 13731395. doi:10.1037/0022-3514.72.6.1373.Google Scholar
World Health Organization. (1998). WHO guidelines for controlling and monitoring the tobacco epidemic. Geneva, Switzerland: WHO.Google Scholar
Supplementary material: File

vanDellen et al. supplementary material

vanDellen et al. supplementary material 1

Download vanDellen et al. supplementary material(File)
File 25.8 KB