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The importance of supporting autonomy and perceived competence in facilitating long-term tobacco abstinence.
Ann Behav Med. 2009 Jun; 37(3):315-24.AB

Abstract

BACKGROUND

The Public Health Service (PHS) Guideline for Treating Tobacco Use and Dependence (Fiore et al. 2000) recommends supporting autonomy and perceived competence to facilitate tobacco abstinence.

PURPOSE

The aim of the study was to evaluate the effectiveness of an intensive tobacco-dependence intervention based on self-determination theory (SDT) and intended to support autonomy and perceived competence in facilitating long-term tobacco abstinence.

METHODS

One thousand and six adult smokers were recruited into a randomized cessation-induction trial. Community care participants received cessation pamphlets and information on local treatment programs. Intervention participants received the same materials and were asked to meet four times with counselors over 6 months to discuss their health in a manner intended to support autonomy and perceived competence. The primary outcome was 24-month prolonged abstinence from tobacco. The secondary outcome was 7-day point prevalence tobacco abstinence at 24 months postintervention.

RESULTS

Smokers in the intervention were more likely to attain both tobacco abstinence outcomes and these effects were partially mediated by change in both autonomous self-regulation and perceived competence from baseline to 6 months. Structural equation modeling confirmed the SDT model of health-behavior change in facilitating long-term tobacco abstinence.

CONCLUSIONS

An intervention based on SDT and consistent with the PHS Guideline, which was intended to support autonomy and perceived competence, facilitated long-term tobacco abstinence.

Authors+Show Affiliations

Department of Medicine, University of Rochester, R.C. Box 270266, Rochester, NY 14627-0266, USA. Geoffrey_Williams@URMC.Rochester.EduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

19373517

Citation

Williams, Geoffrey C., et al. "The Importance of Supporting Autonomy and Perceived Competence in Facilitating Long-term Tobacco Abstinence." Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine, vol. 37, no. 3, 2009, pp. 315-24.
Williams GC, Niemiec CP, Patrick H, et al. The importance of supporting autonomy and perceived competence in facilitating long-term tobacco abstinence. Ann Behav Med. 2009;37(3):315-24.
Williams, G. C., Niemiec, C. P., Patrick, H., Ryan, R. M., & Deci, E. L. (2009). The importance of supporting autonomy and perceived competence in facilitating long-term tobacco abstinence. Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine, 37(3), 315-24. https://doi.org/10.1007/s12160-009-9090-y
Williams GC, et al. The Importance of Supporting Autonomy and Perceived Competence in Facilitating Long-term Tobacco Abstinence. Ann Behav Med. 2009;37(3):315-24. PubMed PMID: 19373517.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The importance of supporting autonomy and perceived competence in facilitating long-term tobacco abstinence. AU - Williams,Geoffrey C, AU - Niemiec,Christopher P, AU - Patrick,Heather, AU - Ryan,Richard M, AU - Deci,Edward L, Y1 - 2009/04/17/ PY - 2008/04/22/received PY - 2009/4/18/entrez PY - 2009/4/18/pubmed PY - 2009/12/16/medline SP - 315 EP - 24 JF - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine JO - Ann Behav Med VL - 37 IS - 3 N2 - BACKGROUND: The Public Health Service (PHS) Guideline for Treating Tobacco Use and Dependence (Fiore et al. 2000) recommends supporting autonomy and perceived competence to facilitate tobacco abstinence. PURPOSE: The aim of the study was to evaluate the effectiveness of an intensive tobacco-dependence intervention based on self-determination theory (SDT) and intended to support autonomy and perceived competence in facilitating long-term tobacco abstinence. METHODS: One thousand and six adult smokers were recruited into a randomized cessation-induction trial. Community care participants received cessation pamphlets and information on local treatment programs. Intervention participants received the same materials and were asked to meet four times with counselors over 6 months to discuss their health in a manner intended to support autonomy and perceived competence. The primary outcome was 24-month prolonged abstinence from tobacco. The secondary outcome was 7-day point prevalence tobacco abstinence at 24 months postintervention. RESULTS: Smokers in the intervention were more likely to attain both tobacco abstinence outcomes and these effects were partially mediated by change in both autonomous self-regulation and perceived competence from baseline to 6 months. Structural equation modeling confirmed the SDT model of health-behavior change in facilitating long-term tobacco abstinence. CONCLUSIONS: An intervention based on SDT and consistent with the PHS Guideline, which was intended to support autonomy and perceived competence, facilitated long-term tobacco abstinence. SN - 1532-4796 UR - https://www.unboundmedicine.com/medline/citation/19373517/The_importance_of_supporting_autonomy_and_perceived_competence_in_facilitating_long_term_tobacco_abstinence_ L2 - https://academic.oup.com/abm/article-lookup/doi/10.1007/s12160-009-9090-y DB - PRIME DP - Unbound Medicine ER -