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


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.

SUBMITTER: Niemiec CP 

PROVIDER: S-EPMC2660169 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature

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Publications

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

Niemiec Christopher P CP   Ryan Richard M RM   Deci Edward L EL   Williams Geoffrey C GC  

Patient education and counseling 20081005 2


<h4>Objective</h4>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.<h4>Methods</h4>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.<h4>Results</h4>Aspirations for physical health w  ...[more]

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