Progression towards smoking cessation: qualitative analysis of successful, unsuccessful and never quitters
Tombor, I, Vangeli, E, West, R and Shahab, L (2017). Progression towards smoking cessation: qualitative analysis of successful, unsuccessful and never quitters. Journal of Substance Use.
|Authors||Tombor, I, Vangeli, E, West, R and Shahab, L|
Background: Understanding how people transition between phases of not making a quit attempt to stopping smoking successfully is important in order to optimise interventions. This study aimed to explore differences in attitudes towards smoking and quitting among smokers and ex-smokers. Methods: Adult (age 18 and over) successful (n=8), unsuccessful (n=8) and never quitters (n=7) were recruited through stop-smoking services in England. Semi-structured interviews were conducted and data were analysed using framework analysis. Results: Seven themes (starting to smoke, positive appraisal of smoking, responsibility for past/current smoking, negative effects of smoking, reasons to quit, process of quitting, and identity) were identified in all groups. Sub-group differences were explored and used to derive six typologies with descriptive characteristics: committed smokers, aware smokers, forced attempters, struggling attempters, pragmatic ex-smokers, and committed non-smokers. Using these typologies and the smallest number of differentiating factors between them (awareness of negative effects, motivation to stop and acceptance of responsibility), a parsimonious model of progression towards smoking cessation was developed. Conclusions: Awareness of negative effects, motivation and, crucially, a sense of commitment for taking responsibility to take actions towards behaviour change may be important for whether smokers attempt to quit and progress to a successful quit attempt.
|Keywords||typology; process of smoking cessation; qualitative|
|Journal||Journal of Substance Use|
|Publisher||London South Bank University|
|Digital Object Identifier (DOI)||doi:10.1080/14659891.2017.1378746|
|05 Oct 2017|
|Publication process dates|
|Deposited||08 Nov 2017|
|Accepted||28 Aug 2017|
|Accepted author manuscript|
CC BY 4.0
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