Readiness to Quit Smoking in Rural Communities

Rayens, Mary Kay; Hahn, Ellen J.; Hedgecock, Susan

doi:10.1080/01612840802319860

Cited by 12 publications

(13 citation statements)

References 44 publications

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“…Most of these themes are consistent with the findings of similar research conducted in Appalachia 23–29 and with rural or disparate populations 3, 10, 30, 31 but there are novel ideas that offer intriguing insights and implications for further research and intervention development in rural communities.…”

Section: Discussionsupporting

confidence: 73%

“…31 Similarly, Rayens found that a major illness could influence readiness to quit smoking. 10 However, in a study of smoking relatives of lung cancer patients, 91% of smoking family members still smoked following an educational intervention about the benefits of smoking cessation. 32 …”

Section: Discussionmentioning

confidence: 99%

“…7 Although interventions designed to reach populations may have the greatest chance of success when they are tailored toward those at highest risk, they may not be as effective in rural areas due to limited access to health care. 5 However, innovative approaches have been tested in rural areas, including telephone counseling 8 , web-based interventions 9 , and cessation contests 10 .…”

Section: Introductionmentioning

confidence: 99%

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An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

Butler

Hedgecock

Record

et al. 2012

Nursing Clinics of North America

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Synopsis Although tobacco use remains the single most preventable cause of death in the US, little is known about the most effective population-based strategies to reach rural smokers and motivate them to quit. The purpose of this study was to describe the personal narratives of current and former smokers living in an economically distressed, rural area of Appalachian Kentucky. Personal narratives were obtained from focus groups with smokers/former smokers (N=21). Data were analyzed using Atlas.ti 6 Three categories of nine themes emerged: personal motivators to quit smoking, external influences, pride of place. Capturing personal narratives represents an evidence-based, data-rich strategy for development of culturally sensitive, population-based interventions aimed at rural smokers. Such strategies may be effective in reaching rural smokers and motivating them to quit, thereby reducing tobacco-related disease and premature death in rural, economically distressed communities.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

Butler

Hedgecock

Record

et al. 2012

Nursing Clinics of North America

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“…15 Friends and family who encourage quitting have been described as important motivators to smoking cessation in the region. 15,16 Lack of access to parents’ cigarettes also has a positive impact on preventing youth uptake of smoking in Appalachia. 8 Physician recommendations to quit smoking have also been correlated with cessation attempts in Kentucky.…”

Section: Determinants Of Smoking Cessation In Appalachiamentioning

confidence: 99%

Perceptions of Smoking Cessation Programs in Rural Appalachia

Kruger

Howell²,

Haney³

et al. 2012

ajhb

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Objectives To identify perspectives on smoking cessation programs in Appalachian Kentucky, a region with particularly high smoking rates and poor health outcomes. Methods Insufficient existing research led us to conduct 12 focus groups (smokers and nonsmokers) and 23 key informant interviews. Results Several findings previously not described in this high-risk population include (1) transition from pro-tobacco culture toward advocacy for tobacco cessation approaches, (2) region-specific challenges to program access, and (3) strong and diverse social influences on cessation. Conclusions To capitalize on changes from resistance to support for smoking cessation, leaders should incorporate culturally appropriate programs and characteristics identified here.

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“…Most research has focused on cessation-harnessing support to help smokers who are already in treatment programs and have high baseline levels of quitting readiness (Cohen & Lichtenstein, 1990; Park et al, 2012; Westmaas et al, 2010). Two studies enrolling community samples of smokers found that social support for quitting was associated with increased stage of change, a conventional measure of quitting motivation (Rayens, Hahn, & Hedgecock, 2008; Sorensen, Emmons, Stoddard, Linnan, & Avrunin, 2002). Further, a population-based survey study (Burris et al, 2013) observed that social support was greater among smokers who want to quit now than those not ready to quit immediately.…”

Section: Introductionmentioning

confidence: 99%

Relationship of autonomy social support to quitting motivation in diverse smokers

Patten

Goggin

Harris

et al. 2016

Addiction Research & Theory

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Background Research examining relationships between social support and smoking cessation has paid little attention to non-treatment seeking smokers and not considered the role of autonomy support for fostering quitting motivation. This study examined if autonomy support received from family and friends was associated with quitting motivation and making a quit attempt among diverse smokers with varying levels of quitting motivation. Demographic characteristics associated with autonomy support were explored. Methods Participants (N=312) responded to advertisements seeking smokers “not quite ready to quit,” and were primarily Black, low-income, and unemployed. Most (255) enrolled in a clinical trial of smoking cessation induction strategies (treatment sample). An additional 57 not meeting the trial eligibility criteria of low quitting motivation enrolled for baseline assessments only. Participants completed baseline measures of autonomy support received from friends and autonomous quitting motivation. In the treatment sample, quit attempts were assessed at 6-months follow-up. Results Females reported higher levels than males of autonomy support from friends (p=0.003). Participants with a high school diploma/GED reported higher levels of support from family (p<0.001) and friends (p=0.014) than those with less education or a college/graduate degree. Both family (p=0.007) and friend (p=0.004) autonomy support scores were significantly, albeit weakly, associated with autonomous quitting motivation. Autonomy support was not associated with making a quit attempt. Conclusions Support from family and friends may promote autonomous reasons to quit among diverse smokers. Research is needed to assess the role of social support in the pre-quitting phases among racial and socio-economically diverse populations.

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Readiness to Quit Smoking in Rural Communities

Cited by 12 publications

References 44 publications

An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

An Evidence-Based Cessation Strategy Using Rural Smokers’ Experiences with Tobacco

Perceptions of Smoking Cessation Programs in Rural Appalachia

Relationship of autonomy social support to quitting motivation in diverse smokers

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