Stages of change analysis of smokers attending clinics for the medically underserved.

Title

Stages of change analysis of smokers attending clinics for the medically underserved.

Creator

Gil Karen M; Schrop Susan Labuda; Kline Sarah C; Kimble Emily A; McCord Gary; McCormick Kenelm F; Gilchrist Valerie J

Publisher

The Journal of Family Practice

Date

2002
2002-12

Description

OBJECTIVE: To determine whether smokers at clinics providing care for the medically underserved can be characterized according to the transtheoretical stages of change model. STUDY DESIGN: Prospective, descriptive study. POPULATION: Smokers in the waiting rooms of clinics providing care for the medically underserved. OUTCOMES MEASURED: Standardized questionnaires that assessed stages of change, processes of change, decisional balance, and self-efficacy and temptation. RESULTS: The smoking rate of subjects interviewed at 4 clinics was 44%. Two hundred current smokers completed the questionnaires. Smokers claiming that they planned to quit within 6 months scored higher on experiential process statements that are consistent with quitting smoking than did smokers who claimed they were not planning to quit within 6 months. They also scored higher on behavioral statements related to quitting. Concerns about the negative aspects of smoking were more important to smokers planning to quit than to smokers not planning to quit, whereas the statements assessing positive aspects of smoking were rated the same. Fifty-five percent of the smokers were smoking a pack or more each day and reported smoking more during negative situations and from habit than did smokers who smoked less than a pack a day. CONCLUSIONS: Smokers planning to quit who still smoke at least a pack a day may benefit from counseling to decrease smoking for specific reasons or from pharmacologic aids. Smokers at the clinics who planned to quit smoking reported experiences and behaviors that were consistent with their stated desire to quit and should be counseled in the same fashion as smokers from more traditional practices.

Subject

Adult; Humans; Male; Socioeconomic Factors; Surveys and Questionnaires; Prospective Studies; *Health Behavior; *Smoking Cessation/psychology/statistics & numerical data; Counseling; Medically Underserved Area; Models; Theoretical

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

1018–1018

Issue

12

Volume

51

Citation

Gil Karen M; Schrop Susan Labuda; Kline Sarah C; Kimble Emily A; McCord Gary; McCormick Kenelm F; Gilchrist Valerie J, “Stages of change analysis of smokers attending clinics for the medically underserved.,” NEOMED Bibliography Database, accessed January 22, 2021, https://neomed.omeka.net/items/show/5428.

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