Aspiring to physical health: the role of aspirations for physical health in facilitating long-term tobacco abstinence.

Full Abstract

OBJECTIVE: To assess aspirations for physical health over 18 months. To examine whether maintained importance of aspirations for physical health mediated and/or moderated the effect of an intensive intervention on long-term tobacco abstinence. METHODS: Participants were randomly assigned to an intervention based on self-determination theory or to community care, and provided data at baseline and at 18 and 30 months post-randomization. RESULTS: Aspirations for physical health were better maintained over 18 months among participants in the intervention (mean change=.05), relative to community care (mean change=-.13), t=2.66, p<.01. Maintained importance of aspirations for physical health partially mediated the treatment condition effects on seven-day point prevalence tobacco abstinence (z'=1.68, p<.01) and the longest number of days not smoking (z'=2.16, p<.01), and interacted with treatment condition to facilitate the longest number of days not smoking (beta=.08, p<.05). CONCLUSION: Maintained importance of aspirations for physical health facilitated tobacco abstinence. PRACTICE IMPLICATIONS: Smokers may benefit from discussing aspirations for physical health within autonomy-supportive interventions. Patients may benefit from discussing aspirations during counseling about therapeutic lifestyle change and medication use.

Author information

Author/s: Niemiec, Christopher P (CP); Ryan, Richard M (RM); Deci, Edward L (EL); Williams, Geoffrey C (GC);

Affiliation: Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY 14627, United States. niemiec(-atsign-)psych.rochester.edu

Grants: R01-CA106668 (Agency:NCI NIH HHS) ; R01-MH59594 (Agency:NIMH NIH HHS)

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: Patient education and counseling (Patient Educ Couns), published in Ireland. (Language: eng)

Reference: 2009-Feb; vol 74 (issue 2) : pp 250-7

Dates: Created 2009/01/13; Completed 2009/05/15;

PMID: 18838243, status: MEDLINE (last retrieval date: 5/15/2009, IMS Date: 15 May 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Aspirations (Psychology)
Follow-Up Studies
Goals
Health Behavior
Humans
Linear Models
Logistic Models
Outcome Assessment (Health Care)
Patient Education as Topic - methods
Patient Participation - methods; psychology

Patient Participation - methods; psychology
Personal Autonomy
Prevalence
Program Evaluation
Psychological Theory
Questionnaires
Self Care - psychology
Smoking - prevention & control; psychology
Smoking Cessation - methods; psychology; statistics & numerical data
Social Support

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