Date of Award

2013

Degree Type

Thesis

Degree Name

Master of Arts (MA)

Department

Psychology

First Advisor

James O. Prochaska

Abstract

Little is known about the mechanisms behind relapse to different pre-Action stages of the Transtheoretical Model of Behavior Change (TTM) among ex-smokers. This study provides a preliminary investigation of the possible role static and dynamic variables, including demographic characteristics, smoking behavior and severity, and TTM effort variables, have in two ways: 1) As potential predictors of relapse to Precontemplation/Contemplation stages vs. Preparation; and 2) as potential predictors of relapse to any pre-Action stage vs. maintenance at follow-up. The study sample was derived from an integrated dataset of four TTM population-based smoking cessation interventions conducted in the United States. Unlike forward movement between adjacent stages, participants appeared to be equally likely to relapse to all three pre-Action stages. Being part of a treatment group was a salient predictor of being a maintainer at follow-up. Scoring higher on certain components of the Situational Temptations and Processes of Change measures differentiated those who relapsed from those who maintained at follow-up. Implications towards improving interventions and research concerning backward stage transitions are discussed.

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