Predictors of 3-Month Abstinence in Smokers Attending Stop-Smoking Clinics in Malaysia

Wee, Lei Hum; West, Robert; Bulgiba, Awang; Shahab, Lion

doi:10.1093/ntr/ntq221

Cited by 24 publications

(24 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These results are consistent with previous studies (Biener & Abrams, 1991;Jardin & Carpenter, 2012) where initial levels of motivation to quit predicted success with smoking cessation, and they are consistent with the results found by Heppner et al (2011) where motivation predicted continuous smoking abstinence in a sample of pregnant women. In addition, our results are consistent with previous research that found motivation to be a predictor of abstinence at 3 and 6 months (Wee, West, Bulgiba, & Shahab, 2011;Williams et al, 2002). However, our results are contrary to those that found that motivation was unrelated to cessation maintenance (Borland et al, 2010;West et al, 2001;Zhou et al, 2009).…”

Section: Discussionsupporting

confidence: 89%

Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers

Piñeiro

López‐Durán

Río

et al. 2016

Addictive Behaviors

View full text Add to dashboard Cite

Introduction: Although quitting motivation predicts smoking cessation, there have been inconsistent findings regarding motivation predicting long-term maintenance of abstinence. Moreover, most such research has been conducted in North America and the United Kingdom. The aim of this study was to examine motivation to quit as a predictor of smoking cessation and of abstinence maintenance in a Spanish sample. Method:The sample comprised 286 Spanish smokers undergoing psychological treatment for smoking cessation. Motivation to quit was assessed pre-treatment and posttreatment with the Readiness to Quit Ladder. Abstinence post-treatment and at 6 month followup was biochemically verified.Results: Participants with higher levels of pre-treatment and post-treatment motivation were more likely to be abstinent at the end of the treatment (OR = 1.36) and at 6 months followup (OR = 4.88). Among abstainers at the end of the treatment (61.9%), higher levels of motivation to quit post-treatment predicted maintaining abstinence at 6 months (OR = 2.83). Furthermore, participants who failed to quit smoking reported higher levels of motivation to quit post-treatment than they had pretreatment (p < .001).Conclusions: Motivation to quit smoking predicted short and long-term cessation, and also predicted long-term maintenance of abstinence. These results have implications for understanding motivational processes of smoking cessation in general, while extending research to Spanish smokers. They may also help in the design of cessation and relapse-prevention interventions. Specifically, the results suggest that motivational enhancement is important throughout the cessation and maintenance periods.

show abstract

Section: Discussionsupporting

confidence: 89%

Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers

Piñeiro

López‐Durán

Río

et al. 2016

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…This is unfortunate as Malaysia has nearly 300 publicly funded quit clinics. A 2010 study by Wee et al (2011) also found smokers who wanted to quit and who heard about the availability of the clinics tend to do better in treatment. Therefore, by not being familiar with available services, local doctors are missing an opportunity for enabling their patients to quit as compared to their colleagues in dentistry and pharmacy (Lee et al, 2011;Abdul Kadir, 2013).…”

Section: Discussionmentioning

confidence: 96%

Knowledge and practices of tobacco dependence treatment among junior doctors in a Malaysian teaching hospital

et al. 2014

View full text Add to dashboard Cite

I ntroduction: Junior doctors are ideally placed to assist smokers quit yet little is known about their knowledge and practices. Aims: To determine knowledge and practices in providing smoking cessation support, among junior doctors in a Malaysian teaching hospital. Methods: In 2012, all junior doctors at University Malaya Medical Centre were invited to complete a self-administered questionnaire. The data were collated and analysed using standard descriptive methods. Results/Findings: Seventy per cent (n = 122/173) of those eligible completed the questionnaire, 71% reporting cessation training at medical school. Most (90%) asked patients their smoking status but only 52% asked about quitting. Sixty-one per cent lacked confidence in providing assistance to quit, especially female doctors (70.8%, p<0.01). Most (80%) were unaware of local cessation clinics, and over half (59%) were unaware of the existence of guidelines for smoking cessation (p < 0.001). Conclusions: Asking about smoking was undertaken at satisfactory levels, but low knowledge, confidence and skills among this group of junior doctors indicates that cessation education should be included in undergraduate and in postgraduate curriculum training programmes. Awareness of specialist services and guidelines should be raised. Our findings are unlikely to be unique to this hospital, suggesting the need for a nationally consistent approach.

show abstract

“…We also posit that this focus on acceptance may be especially helpful for heavy smokers and those with mental health symptoms because physical, emotional, and cognitive cues to smoke are stronger for these individuals (Cui et al, 2012;Kushnir et al, 2013;Loeber et al, 2011;Weinberger, McKee, & George, 2012). Overall, exploration of comparative treatment effects in these subgroups can aid in the critical effort to improve quit rates for high-risk groups and thereby reduce tobaccorelated health disparities (Baker et al, 2007;Marlatt, Curry, & Gordon, 1988;Wee, West, Bulgiba, & Shahab, 2011;Zhou et al, 2009). …”

Section: Subgroups: Low Acceptance Of Cravings Heavy Smoking and Dementioning

confidence: 99%

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Bricker

Bush

Zbikowski

et al. 2014

Nicotine & Tobacco Research

View full text Add to dashboard Cite

Objective: We conducted a pilot randomized trial of telephone-delivered acceptance and commitment therapy (ACT) versus cognitive behavioral therapy (CBT) for smoking cessation.Method: Participants were 121 uninsured South Carolina State Quitline callers who were adult smokers (at least 10 cigarettes/ day) and who wanted to quit within the next 30 days. Participants were randomized to 5 sessions of either ACT or CBT telephone counseling and were offered 2 weeks of nicotine replacement therapy (NRT).results: ACT participants completed more calls than CBT participants (M = 3.25 in ACT vs. 2.23 in CBT; p = .001). Regarding satisfaction, 100% of ACT participants reported their treatment was useful for quitting smoking (vs. 87% for CBT; p = .03), and 97% of ACT participants would recommend their treatment to a friend (vs. 83% for CBT; p = .06). On the primary outcome of intent-to-treat 30-day point prevalence abstinence at 6 months postrandomization, the quit rates were 31% in ACT versus 22% in CBT (odds ratio [OR] = 1.5, 95% confidence interval [CI] = 0.7-3.4). Among participants depressed at baseline (n = 47), the quit rates were 33% in ACT versus 13% in CBT (OR = 1.2, 95% CI = 1.0-1.6). Consistent with ACT's theory, among participants scoring low on acceptance of cravings at baseline (n = 57), the quit rates were 37% in ACT versus 10% in CBT (OR = 5.3, 95% CI = 1.3-22.0). Conclusions:ACT is feasible to deliver by phone, is highly acceptable to quitline callers, and shows highly promising quit rates compared with standard CBT quitline counseling. As results were limited by the pilot design (e.g., small sample), a fullscale efficacy trial is now needed.

show abstract

Predictors of 3-Month Abstinence in Smokers Attending Stop-Smoking Clinics in Malaysia

Abstract: Motivation and nicotine dependence may play different roles in explaining variation in ability to stop smoking in different cultures.

Cited by 24 publications

References 29 publications

Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers

Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers

Knowledge and practices of tobacco dependence treatment among junior doctors in a Malaysian teaching hospital

Randomized Trial of Telephone-Delivered Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy for Smoking Cessation: A Pilot Study

Contact Info

Product

Resources

About