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Title: Application of the transtheoretical model to smoking cessation interventions
Author: Alexis-Garsee, Camille Sonya
ISNI:       0000 0004 2747 8864
Awarding Body: University of the West of England, Bristol
Current Institution: University of the West of England, Bristol
Date of Award: 2014
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Smoking has had a devastating effect in Britain; high mortality rates, increased rates of smoking related illness and increased cost to the National Health Service (NHS). The resulting government initiatives to help smokers to quit, Stop Smoking Services (S5S), are plagued by low participation rates (less than 3% of the population) but have relatively high quit rates (approximately 43% at 4 weeks). The Transtheoretical Model (TTM) proposes that behaviour change is a process that happens in a particular order, and that interventions can be developed for all smokers from those not wanting to change (precontemplation) to those who have already quit and are maintaining their behaviour (maintenance). Therefore this model has the potential to increase both quit and participation rates for those using the SSS. This thesis provides a framework for testing whether smoking behaviour change follows a (TTM) stage process by providing cross-sectional, longitudinal and stage matched evidence for current and failed quitters of the SSS. The results showed that although the cross-sectional evidence was supportive of the TTM, the longitudinal and stage- matched evidence was weak which does not support the behaviour change process as outlined by the TTM. Stage of change was not a reliable or consistent predictor of smoking status for current users or failed quitters of the SSS. Also abstinence rates were not related to the degree of tailoring, so that those receiving the tailored intervention were not significantly more likely to quit than those in the control condition. Also, those receiving the intervention that was only based on the stages of change were less likely to quit and more likely to relapse than those in the control and tailored conditions. Therefore the results of this thesis do not support the implementation of the TTM into the SSS framework and may not be a useful intervention for failed quitters of the SSS.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available