Smoking cessation: The state of the science - The utility of the transtheoretical model in guiding interventions in smoking cessation

Citation
S. Andersen et al., Smoking cessation: The state of the science - The utility of the transtheoretical model in guiding interventions in smoking cessation, ONL J K S N, 6(9), 1999, pp. NIL_1-NIL_15
Citations number
32
Categorie Soggetti
Public Health & Health Care Science
Journal title
ONLINE JOURNAL OF KNOWLEDGE SYNTHESIS FOR NURSING
ISSN journal
10727639 → ACNP
Volume
6
Issue
9
Year of publication
1999
Pages
NIL_1 - NIL_15
Database
ISI
SICI code
1072-7639(19991022)6:9<NIL_1:SCTSOT>2.0.ZU;2-6
Abstract
(1) Smoking remains the most significant modifiable risk factor for the lea ding causes of death in the United States. The most frequently used theoret ical model used to guide interventions directed toward smoking cessation ha s been the Transtheoretical Model (TTM) (Prochaska & DiClemente, 1983 [24]) , although the effectiveness and efficacy of the model's use in guiding smo king cessation interventions has not been fully evaluated. A non-statistica l meta-analytic approach was used to examine reports of the use of the TTM in smoking cessation interventions. Three elements were considered for incl usion in this integrated review: the clear specification of the use of a th eoretical framework, a specified intervention directed towards changing smo king behavior, and a specified outcome of smoking behavior change. From 1,5 00 research articles, 16 reports fit these criteria. The assessment of the research reviewed indicates that the TTM has not been fully tested in smoki ng cessation interventions, nor have process mediators been used to determi ne the mechanism of smoking behavior change.