TY - JOUR
T1 - Aspiring to physical health
T2 - The role of aspirations for physical health in facilitating long-term tobacco abstinence
AU - Niemiec, Christopher P.
AU - Ryan, Richard M.
AU - Deci, Edward L.
AU - Williams, Geoffrey C.
N1 - Funding Information:
This research was supported in part by grants from the National Institute of Mental Health (R01-MH59594) and the National Cancer Institute (R01-CA106668).
PY - 2009/2
Y1 - 2009/2
N2 - 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 (β = .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.
AB - 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 (β = .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.
KW - Health aspirations
KW - Self-determination theory
KW - Tobacco abstinence
UR - http://www.scopus.com/inward/record.url?scp=58149262945&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2008.08.015
DO - 10.1016/j.pec.2008.08.015
M3 - Article
C2 - 18838243
AN - SCOPUS:58149262945
SN - 0738-3991
VL - 74
SP - 250
EP - 257
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -