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Understanding smokers’ beliefs and feelings about smoking and quitting during a quit attempt: a preliminary evaluation of the SNAP model

  • Wee Lei Hum (a1), Awang Bulgiba (a2), Lion Shahab (a3), Eleni Vangeli (a3) and Robert West (a3)...

This study sought to obtain a preliminary assessment of whether a new model of behaviour change (SNAP) could provide a useful conceptual framework for classifying smokers’ reports of their beliefs and feelings about the process of stopping smoking. Eight smokers’ clinic attendees in Malaysia underwent semi-structured interviews before and four weeks after the start of their quit attempt. A variant of Template Analysis found support for the view that smokers’ inferred identities could be reliably classified in the terms Smoker, Non-smoker, Attempter or Planner (SNAP) using self-statements about their motivation and behaviour as well as identity. There was evidence for wide variation in the coherence of smokers’ beliefs and feelings defined in terms of the proportion that fitted their modal SNAP category. As would be expected there was a shift in SNAP categories pre- to post-quit in those who were not smoking but only so far as ‘attempter’. An important next step is to assess how far lack of coherence in a given identity predicts transitions to other categories.

Corresponding author
Address for correspondence: Lei Hum Wee, Institute of Health Behavioural Research, Ministry of Health Malaysia, Jalan Rumah Sakit Bangsar, 50590 Kuala Lumpur, Malaysia. E-mail:
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M. Al'absi , D. Hatsukami , G. L. Davis , & L. E. Wittmers (2004). Prospective examination of effects of smoking abstinence on cortisol and withdrawal symptoms as predictors of early smoking relapse. Drug and Alcohol Dependence, 73 (3), 267278.

Y. K. Chang , C. I. Voils , M. Sandelowski , V. Hasselblad , & J. L. Crandell (2009). Transforming verbal counts in reports of qualitative descriptive studies into numbers. Western Journal of Nursing Research, 31, 837852.

C. C. Diclemente , J. O. Prochaska , S. Fairhurst , W.F. Velicer , M. Velasquez & J.S. Rossi (1991). The process of smoking cessation: an analysis of precontemplation, contemplation and preparation stages of change. Journal of Consulting and Clinical Psychology, 59 (2), 259304.

J. F. Etter , & S. Sutton (2002). Assessing `stage of change’ in current and former smokers trying to stop smoking: effects of perceived addiction, attributions for failure, and expectancy of success. Addiction, 97, 11711182.

K. O. Fagerstrom , & N. G. Schneider (1989). Measuring nicotine dependence: a review of the Fagerstrom tolerance questionnaire. Journal of Behavioural Medicine, 12 (2), 159182.

T. Lancaster , & L. F. Stead (2005). Individual behavioural counselling for smoking cessation. Cochrane Database of Systematic Reviews (2).

T. Lancaster , P. Hajek , L. Stead , R. West , & M. Jarvis (2006). Prevention of relapse after quitting smoking – a systematic review of trials. Archives of Internal Medicine, 166, 828835.

L. C. Larabie (2005). To what extent do smokers plan quit attempts? Tobacco Control, 14 (6), 425428.

C. Pisinger , J. Vestbo , K. Borch-Johnsen , & T. Jorgensen (2005). It is possible to help smokers in early motivational stages to quit. The Inter99 study. Preventive Medicine, 40, 278284.

N. A. Rigotti (2002). Treatment of tobacco use and dependence. New England Journal of Medicine, 346, 506512.

S. Rollnick , C. C. Butler , & N. Stott (1997). Helping smokers make decisions: the enhancement of brief intervention for general medical practice. Patient Education Counselling, 31, 101203.

B. Thompson , L. A. Thompson , J. Thompson , C. Fredickson , & S. Bishop (2003). Heavy smokers: A qualitative analysis of atitudes and beliefs concerning cessation and continued smoking. Nicotine and Tobacco Research, 5 (6), 923933.

R. West (2006). Theory of Addiction: Blackwell Publishing, UK.

R. West , & T. Sohal (2006). Catastrophic pathways to smoking cessation: findings from a national survey. BMJ, 332 458460.

R. West , W. Zatonski , K. Przewozniak , & M. Jarvis (2007). Can we trust national smoking prevalence figures? Discrepancies between biochemically-assessed and self-reported smoking rates in three countries. Cancer Epidemiology Biomarkers and Prevention, 16 (4), 820822.

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Journal of Smoking Cessation
  • ISSN: -
  • EISSN: 1834-2612
  • URL: /core/journals/journal-of-smoking-cessation
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