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Related Experiment Videos

Facilitating autonomous motivation for smoking cessation.

Geoffrey C Williams1, Marylène Gagné, Richard M Ryan

  • 1Department of Medicine, University of Rochester, New York 14627, USA. geoffrey_williams@urmc.rochester.edu

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|February 16, 2002
PubMed
Summary

Physician autonomy support in smoking cessation counseling enhances autonomous motivation, which in turn predicts successful quitting. While not directly impacting quit rates, this approach supports the self-determination process for lasting behavioral change.

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Area of Science:

  • Behavioral Science
  • Health Psychology
  • Public Health

Background:

  • Smoking cessation remains a significant public health challenge.
  • Physician counseling style can influence patient motivation and behavior change.
  • Understanding the psychological mechanisms of smoking cessation is crucial for effective interventions.

Purpose of the Study:

  • To examine the effect of physician autonomy-supportive versus controlling counseling styles on smoking cessation.
  • To test the self-determination process model of smoking cessation.
  • To identify mediators and moderators of smoking cessation in response to physician counseling.

Main Methods:

  • Physicians employed either autonomy-supportive or controlling styles during smoking cessation counseling.

Related Experiment Videos

  • Physician autonomy support was assessed from audiotapes.
  • Patient-reported outcomes included perceived competence and autonomous motivation.
  • Validated point prevalences for continuous smoking cessation were measured at 6, 12, and 30 months.

    • Main Results:

    • The intervention did not directly increase smoking quit rates.
    • Structural equation modeling supported the self-determination process model.
    • Higher physician autonomy support predicted greater autonomous motivation.
    • Autonomous motivation predicted cessation at all measured time points.
    • Perceived competence uniquely predicted cessation only at the 6-month follow-up.

    Conclusions:

    • Autonomy-supportive physician counseling fosters autonomous motivation, a key driver of smoking cessation.
    • The self-determination theory provides a valid framework for understanding smoking cessation processes.
    • Interventions should focus on enhancing patient autonomy and intrinsic motivation for sustained behavior change.