Nonprogressing profiles in smoking cessation: What keeps people refractory to self-change?
Date of Original Version
A 2-year cross-sequential analysis of informal self-change efforts at smoking cessation evaluated the use of coping operations and the mediation of cognitive judgments among four composite profiles. Subjects (N=544) were grouped by and assessed every 6 months on 10 change processes, self-efficacy, and the decisional balance between the "pros" and "cons" of smoking. Two change status profiles, contemplation to maintenance, and relapse to maintenance, were selected as examplars of optimal linear progress; two others, chronic contemplation and chronic relapse, illustrated nonprogressing patterns in which subjects remained stuck in the same stage for 2 years. Multivariate and univariate ANOVA results indicated that nonprogressing smokers oversutilize certain experiential change processes rather than underutilizing behavioral strategies, as was predicted. Implications of these results for specialized self-help interventions are discussed in the context of a comprehensive model of change for the addictive behaviors. © 1990 Ablex Publishing Corporation.
Journal of Substance Abuse
Fitzgerald, Terence E., and James O. Prochaska. "Nonprogressing profiles in smoking cessation: What keeps people refractory to self-change?." Journal of Substance Abuse 2, 1 (1990): 87-105. doi:10.1016/S0899-3289(05)80048-3.