Journal of Smoking Cessation

Articles

Understanding smokers’ beliefs and feelings about smoking and quitting during a quit attempt: a preliminary evaluation of the SNAP model

Wee Lei Huma1 c1, Awang Bulgibaa2, Lion Shahaba3, Eleni Vangelia3 and Robert Westa3

a1 Institute of Health Behavioural Research, Ministry of Health Malaysia

a2 Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia

a3 Cancer Research UK, University College London

Abstract

This study sought to obtain a preliminary assessment of whether a new model of behaviour change (SNAP) could provide a useful conceptual framework for classifying smokers’ reports of their beliefs and feelings about the process of stopping smoking. Eight smokers’ clinic attendees in Malaysia underwent semi-structured interviews before and four weeks after the start of their quit attempt. A variant of Template Analysis found support for the view that smokers’ inferred identities could be reliably classified in the terms Smoker, Non-smoker, Attempter or Planner (SNAP) using self-statements about their motivation and behaviour as well as identity. There was evidence for wide variation in the coherence of smokers’ beliefs and feelings defined in terms of the proportion that fitted their modal SNAP category. As would be expected there was a shift in SNAP categories pre- to post-quit in those who were not smoking but only so far as ‘attempter’. An important next step is to assess how far lack of coherence in a given identity predicts transitions to other categories.

Keywords:

  • smoking cessation;
  • SNAP model;
  • behavioural model;
  • clinic attendees;
  • Malaysia

Correspondence

c1 Address for correspondence: Lei Hum Wee, Institute of Health Behavioural Research, Ministry of Health Malaysia, Jalan Rumah Sakit Bangsar, 50590 Kuala Lumpur, Malaysia. E-mail: weeleihum@iptk.moh.gov.my