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

Published online by Cambridge University Press:  15 February 2013

Wee Lei Hum ,
Awang Bulgiba ,
Lion Shahab ,
Eleni Vangeli  and
Robert West
Wee Lei Hum*
Affiliation:
Institute of Health Behavioural Research, Ministry of Health Malaysia
Awang Bulgiba
Affiliation:
Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia
Lion Shahab
Affiliation:
Cancer Research UK, University College London
Eleni Vangeli
Affiliation:
Cancer Research UK, University College London
Robert West
Affiliation:
Cancer Research UK, University College London
*
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
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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 cessationSNAP modelbehavioural modelclinic attendeesMalaysia
Type
Articles
Information
Journal of Smoking Cessation , Volume 8 , Issue 1 , June 2013 , pp. 17 - 23
Copyright
Copyright © The Authors 2013 

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References

Abrams, D. B., Herzog, T. A., & Emmons, K. M. (2000). Stages of change versus addiction: a replication and extension. Nicotine Tobacco Research, 2, 223–239.Google Scholar
Al'absi, M., Hatsukami, D., Davis, G. L., & Wittmers, L. E. (2004). Prospective examination of effects of smoking abstinence on cortisol and withdrawal symptoms as predictors of early smoking relapse. Drug and Alcohol Dependence, 73 (3), 267–278.CrossRefGoogle ScholarPubMed
Chang, Y. K., Voils, C. I., Sandelowski, M., Hasselblad, V., & Crandell, J. L. (2009). Transforming verbal counts in reports of qualitative descriptive studies into numbers. Western Journal of Nursing Research, 31, 837–852.Google Scholar
Diclemente, C. C., Prochaska, J. O., Fairhurst, S., Velicer, W.F., Velasquez, M. & Rossi, J.S. (1991). The process of smoking cessation: an analysis of precontemplation, contemplation and preparation stages of change. Journal of Consulting and Clinical Psychology, 59 (2), 259–304.Google Scholar
Etter, J. F., & Sutton, S. (2002). Assessing `stage of change’ in current and former smokers trying to stop smoking: effects of perceived addiction, attributions for failure, and expectancy of success. Addiction, 97, 1171–1182.Google Scholar
Fagerstrom, K. O., & Schneider, N. G. (1989). Measuring nicotine dependence: a review of the Fagerstrom tolerance questionnaire. Journal of Behavioural Medicine, 12 (2), 159–182.Google Scholar
King, N. (1998). `Template analysis’, in Saymon, G. and Cassell, C. (eds.). In Qualitative methods and analysis in organizational research: London: Sage.Google Scholar
King, N. (2008). Template analysis [Electronic Version]. Retrieved 10 September, 2008 From http://.hud.ac.uk/hhs/research/template_analysis/whatis.htmGoogle Scholar
Lancaster, T., & Stead, L. F. (2005). Individual behavioural counselling for smoking cessation. Cochrane Database of Systematic Reviews (2).Google Scholar
Lancaster, T., Hajek, P., Stead, L., West, R., & Jarvis, M. (2006). Prevention of relapse after quitting smoking – a systematic review of trials. Archives of Internal Medicine, 166, 828–835.Google Scholar
Larabie, L. C. (2005). To what extent do smokers plan quit attempts? Tobacco Control, 14 (6), 425–428.Google Scholar
Patton, M. Q. (1990). Qualitative evaluation and research methods: Newbury Park, California: Sage Publications.Google Scholar
Pisinger, C., Vestbo, J., Borch-Johnsen, K., & Jorgensen, T. (2005). It is possible to help smokers in early motivational stages to quit. The Inter99 study. Preventive Medicine, 40, 278–284.Google Scholar
Rigotti, N. A. (2002). Treatment of tobacco use and dependence. New England Journal of Medicine, 346, 506–512.Google Scholar
Rollnick, S., Butler, C. C., & Stott, N. (1997). Helping smokers make decisions: the enhancement of brief intervention for general medical practice. Patient Education Counselling, 31, 101–203.Google Scholar
Stead, L. F., & Lancaster, T. (2008). Group behaviour therapy programmes for smoking cessation (Review). The Cochrane Colloboration (4), 1–61.Google Scholar
Thompson, B., Thompson, L. A., Thompson, J., Fredickson, C., & Bishop, S. (2003). Heavy smokers: A qualitative analysis of atitudes and beliefs concerning cessation and continued smoking. Nicotine and Tobacco Research, 5 (6), 923–933.Google Scholar
U.S. Department of Health and Human Services. Public Health Service, Center for Chronic Disease Prevention and Health Promotion. Office on Smoking and Health (1990). The health benefits of smoking cessation: A report of the surgeon general. DHHS Publication No. (CDC) 90–8416.Google Scholar
West, R. (2005a). Time for a change: putting the Transtheoritical (Stages of Change) Model to rest. Addiction, 100, 1036–1039.Google Scholar
West, R. (2005b). What does it take for a theory to be abandoned? The Transtheoretical Model of behaviour change as a test case. Addiction, 100 (8), 1048–1050.Google Scholar
West, R. (2006). Theory of Addiction: Blackwell Publishing, UK.Google Scholar
West, R., & Sohal, T. (2006). Catastrophic pathways to smoking cessation: findings from a national survey. BMJ, 332 458–460.Google Scholar
West, R., Zatonski, W., Przewozniak, K., & Jarvis, M. (2007). Can we trust national smoking prevalence figures? Discrepancies between biochemically-assessed and self-reported smoking rates in three countries. Cancer Epidemiology Biomarkers and Prevention, 16 (4), 820–822.Google Scholar
Yong, H. H., & Borland, R. (2008). Functional beliefs about smoking and quitting activity among adult smokers in four countries: findings from the International Tobacco Control Four-Country Survey. Health Psychology, 23 (3), S216–223.Google Scholar