The influence of having a quit date on prediction of smoking cessation outcome

The aim of this study was to explore whether factors predicting making a quit attempt are uniform within the preparation stage of the transtheoretical model (TTM). Participants were 283 smokers, all planning to quit in the next 30 days (preparation stage), who used a computer-generated tailored advice programme. Evidence of differences in prediction of making a quit attempt was found between smokers with and without a quit date, with the predictive power of a multivariate model markedly higher among those with a set date. In particular, one aspect of pros of smoking (smoking helps you feel better when things are bad) was predictive of progression among those with a quit date, but not among those without. The results suggest that factors predicting stage progression are not uniform within the preparation stage. The results complement other recent research that has questioned the stage definitions used in the TTM and provide evidence in support of an alternative stage boundary defined by the commitment of setting a quit date.