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The Role of the Subjective Importance of Smoking (SIMS) in Cessation and Abstinence

Published online by Cambridge University Press:  02 April 2018

Daniel Rodriguez ,
Tiffanie Goulazian ,
Andrew A. Strasser ,
Jennifer O'Loughlin ,
Erika N. Dugas ,
Chol Kuoiloi ,
Brian L. Hitsman  and
Robert Schnoll
Daniel Rodriguez*
Affiliation:
Urban Public Health and Nutrition, La Salle University, Philadelphia, Pennsylvania
Tiffanie Goulazian
Affiliation:
Urban Public Health and Nutrition, La Salle University, Philadelphia, Pennsylvania
Andrew A. Strasser
Affiliation:
Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania
Jennifer O'Loughlin
Affiliation:
Centre de recherche du centre hospitalier de l'Université de Montréal (CRCHUM), Montreal, QC, Canada Department of Social and Preventive Medicine, Université de Montréal, Montreal, QC, Canada Institut national de sante publique du Quebec, Montreal, Quebec, Canada
Erika N. Dugas
Affiliation:
Centre de recherche du centre hospitalier de l'Université de Montréal (CRCHUM), Montreal, QC, Canada
Chol Kuoiloi
Affiliation:
Urban Public Health and Nutrition, La Salle University, Philadelphia, Pennsylvania
Brian L. Hitsman
Affiliation:
Department of Preventative Medicine, Northwestern University, Chicago, Illinois
Robert Schnoll
Affiliation:
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania
*
Address for correspondence: Daniel Rodriguez, Ph.D., 1900 West Olney Avenue, Philadelphia, PA 19141. Email: rodriguezd@lasalle.edu
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Abstract

Introduction: Each year about two thirds of U.S. smokers make a quit attempt. Yet, less than 5% remain abstinent three months post-quit date. One factor that may affect abstinence is negative feelings about the self-associated with being a smoker (disequilibrium), particularly if smoking is important to the sense of self and one is trying to quit.

Aims: We evaluated a multivariate structural equation model proposing that smoking's subjective importance to a smoker would influence carbon monoxide verified smoking abstinence at 24 weeks (post-quit date). Further, we assessed whether the relation would be moderated by the smoker's experience of disequilibrium.

Methods: Participants were 440 regular smokers taking part in a clinical trial assessing the effectiveness of different durations of nicotine replacement therapy use. Participants completed the subjective importance of smoking survey at baseline and were assessed for carbon monoxide verified seven-day point prevalence abstinence at 24 weeks

Results: Using exploratory structural equation modelling, the subjective importance of smoking was associated with point prevalence abstinence at 24 weeks, but only for smokers with high disequilibrium.

Conclusions: The results of this study suggest that experiencing negative feelings about being a smoker could motivate smokers to remain abstinent, despite the importance of smoking to the smoker's sense of self.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 1 , March 2019 , pp. 1 - 11
Copyright
Copyright © The Author(s) 2018 

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