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The Autonomy Over Smoking Scale.

Joseph R DiFranza1, Robert J Wellman, W W Sanouri A Ursprung

  • 1Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA 01655, USA. difranzj@ummhc.org

Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors
|December 23, 2009
PubMed
Summary
This summary is machine-generated.

A new 12-item scale effectively measures autonomy over smoking in adults and adolescents. This reliable instrument tracks nicotine dependence symptoms, aiding cessation research.

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Area of Science:

  • Psychology
  • Addiction Science
  • Public Health

Background:

  • Understanding the loss and regaining of autonomy over smoking is crucial for effective cessation interventions.
  • Existing measures may not fully capture the multifaceted nature of smoking autonomy.
  • Developing a reliable instrument is essential for advancing research in smoking behavior.

Purpose of the Study:

  • To develop and validate the Autonomy Over Smoking Scale (AOSS).
  • To create an instrument assessing how individuals lose and regain control over smoking.
  • To provide a tool for studying smoking cessation and relapse.

Main Methods:

  • Item generation, focus groups, and multiple rounds of testing in adults and adolescents.
  • Psychometric evaluation including reliability (Cronbach's alpha) and factor analysis.
  • Concurrent validity assessed through correlations with established smoking-related measures.

Main Results:

  • The final 12-item Autonomy Over Smoking Scale demonstrated excellent reliability (alphas = .91-.97).
  • A one-factor solution explained a significant portion of variance (59% in adults, 61%-74% in adolescents).
  • The scale showed strong concurrent validity with measures of smoking initiation, use, dependence, and cessation history.

Conclusions:

  • The Autonomy Over Smoking Scale is a reliable and valid instrument for assessing smoking autonomy.
  • Its features, including symptom intensity and current symptom assessment, make it useful for tracking cessation progress.
  • The scale can be administered to quitting smokers to monitor symptom resolution and aid in understanding relapse prevention.