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Related Experiment Videos

Do patients' preferences predict smoking cessation?

L C W Wiggers1, P F M Stalmeier, F J Oort

  • 1Department of Medical Psychology (J3-220), Academic Medical Center, University of Amsterdam, Meibergdreef 15, 1105 AZ, PO Box 22700, 1100 DE Amsterdam, The Netherlands.

Preventive Medicine
|May 27, 2005
PubMed
Summary
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Patient preferences for quitting smoking, not just cognitive factors, significantly predict cessation success. Willingness to trade survival years for a smoke-free life is a key indicator for smoking cessation.

Area of Science:

  • Behavioral Science
  • Health Psychology
  • Medical Decision Making

Background:

  • Social cognitive theories suggest attitudes, social influence, and self-efficacy drive smoking cessation.
  • Alternative perspectives highlight health state preferences as behavioral predictors.
  • This study defines preferences as the willingness to forgo survival for desired health behaviors like smoking cessation.

Purpose of the Study:

  • To investigate the predictive impact of cognitive determinants on smoking cessation.
  • To examine the role of patient preferences in predicting smoking cessation.
  • To compare the predictive power of social cognitions and preferences for smoking cessation.

Main Methods:

  • A randomized clinical trial involving 217 outpatients with cardiovascular disease who smoke.

Related Experiment Videos

  • Assessment of socio-demographic and clinical characteristics at baseline.
  • Measurement of social cognitions (pros of quitting/smoking, social influence, self-efficacy) and preferences (Time Trade-Off measure) at 1 week, with smoking cessation assessed at 8 weeks.

    • Main Results:

    • Socio-demographic and clinical factors did not significantly predict smoking cessation.
    • Social cognitions (P = .02) and patient preferences (P = .00) were significant predictors of smoking cessation.
    • Quitters demonstrated a willingness to sacrifice a notable number of survival years to achieve smoking cessation.

    Conclusions:

    • Patient preference for quitting smoking emerged as the most potent single predictor of cessation.
    • Willingness to trade survival years is a crucial factor in successful smoking cessation.
    • Integrating preference assessment into cessation interventions may enhance outcomes.