Reported willingness among adolescent nonsmokers to help parents, peers, and others to stop smoking

ArticleinPreventive Medicine 39(6):1099-106 · December 2004with4 Reads
DOI: 10.1016/j.ypmed.2004.04.020 · Source: PubMed
Abstract
This study of 1025 adolescent nonsmokers aged 11-19 years examined level of interest and factors associated with reported willingness to help someone stop smoking. Data were collected from a survey distributed primarily in the schools at four geographic and ethnically diverse study sites. A total of 692 adolescents identified someone close to them who smokes whom they thought should quit. Of these, 90% reported that they would be willing to help this person stop smoking. Multivariate predictors of willingness to help were female gender, less difficulty reading English, and greater level of comfort with talking to the smoker about their smoking. The smoker that the adolescents were willing to help was most often a parent or same age friend. If this strong interest among adolescents could be tapped, engaging teens as support persons could be a novel public health approach to reaching parents, adolescents, and other smokers in the population.
    • "Results indicate that 80% of the sample reported that they were 'very' or 'definitely' willing to help their partner to quit. Also consistent with our previous study of adolescents (Patten et al., 2004a), and young adults (Thomas et al., 2008), over 90% of the spouses of adults who smoke and are being seen for a cessation consultation were also interested in learning ways they could help. Thus, it appears that spouses might be an important target group. "
    [Show abstract] [Hide abstract] ABSTRACT: Studies indicate a positive association between social support and smoking cessation. However, clinic-based interventions designed to increase social support have had limited success. Most studies have relied on only the smoker's perceptions of support received while few have assessed the support provider's report of support delivered. Understanding supportive interactions between support providers and recipients may assist in developing effective support interventions for cessation. The current investigation examined the perceptions of smoking-specific support provided by the spouse of a partner who smokes and was seen for a nicotine dependence consultation. Specifically, we examined spouse reported willingness to help their spouse quit, interest in learning ways to help their spouse quit, and characteristics associated with the provision of smoking-specific supportive behaviors (as assessed via the Support Provided Measure, SPM), in the 2-weeks prior to the consultation. The current investigation also examined the concurrent validity of the SPM with a validated measure of support provided to a smoker, the Partner Interaction Questionnaire (PIQ), accounting for social desirability bias and smoker readiness to change. The sample comprised 84 adult cigarette smokers seen for a clinical smoking cessation intervention and their spouses (N = 84). Results indicate that a high percentage of spouses are willing to help their partner who smokes and interested in learning way to help. As expected, spouses who were females and had never smoked had higher scores on the SPM than males or current smokers. The SPM was significantly correlated with the PIQ positive (r = 0.50, p < 0.01) and negative (r = 0.44, p <0.01) item scales overall and for spouses whose partners reported higher levels of readiness to quit smoking (r = 0.54, p < 0.01; r = 0.50, p < 0.01, respectively). Suggestions for future research are offered.
    Full-text · Article · Aug 2009
    • "The researchers found that around one-third to one-half of students reported they had intervened in their friends' illegal drug use, smoking tobacco, drinking too much, and drink driving. Further, Patten et al (2004) found that among adolescent non-smokers (11 to 19 years old), 90% identified someone they thought should stop smoking and reported that they were willing to help that individual. The adolescents were most likely to be willing to help a same age friend or parent. "
    [Show abstract] [Hide abstract] ABSTRACT: Abstract Study objectives Among the leading causes of adolescent injuries are transport-related factors. School-based curriculum programs are a commonly used method to reduce such injury and these are typically focused on targeting change in known risk and protective factors particularly alcohol use. Another commonly identified risk factor for adolescent risk-taking is adolescents' relationship with, and the influence of, their peers. The program evaluated in this paper however sought to explicate an alternative role of peers as a protective factor. The program, Skills for Preventing Injury in Youth (SPIY) was an eight lesson curriculum integrated program that has previously demonstrated its effectiveness in reducing road-related risktaking behaviours. The aim of this paper is to provide a better understanding of some of the possible mechanisms of change for SPIY participants and in particular peer intervening behaviour. Methods used & sources of data/ information Qualitative and quantitative methods were employed to understand adolescent perceptions of protecting and to evaluate change in motivation to protect. Focus groups with adolescents were used to provide a greater depth of understanding regarding intervening in friends' roadrelated risk-taking and their motivation to do so. The quantitative component included an evaluation of the effectiveness of SPIY in increasing motivation to intervene. This component of the trial involved 230 intervention and 157 control students completing baseline and sixmonth follow-up surveys. Results & Conclusions There was no significant difference between groups on motivation toward protecting their mates from road-related risk-taking. The qualitative data showed that this was a complex issue with multiple considerations affecting intervening behaviour including confidence regarding protection and the context of the risk situation. In sum, it appears that the program based on encouraging protective intervening to improve adolescent road safety can increase motivation to do so and that the issue of mates looking out for mates is a complicated yet relevant road safety strategy for adolescents.
    Full-text · Article · Jan 2008 · Preventive Medicine
    • "First, teens smoke with greater variability and irregularity than adults: While some youth are regular, daily smokers exhibiting symptoms of addiction, many are light or infrequent smokers, and still others smoke only under limited circumstances (Mermelstein, 2003; Mermelstein et al., 2002; Baillie et al., 2005; Kishchuk et al., 2004). Also, some adolescents do not view their smoking as a serious problem, and even those who want to quit have been unenthusiastic about potentially helpful cessation strategies (Balch, 1998; Patten et al., 2004; Balch et al., 2004; Massey et al., 2003; Leatherdale and McDonald, 2005). Other noted intervention obstacles include adolescents' concerns regarding privacy (McCormick et al., 1999; Massey et al., 2003; Gillespie et al., 1995; Balch, 1998; Moolchan and Mermelstein, 2002) and loss of autonomy (Balch, 1998; Balch et al., 2004), and limited relevance and accessibility to teens of cessation programs (Balch, 1998; Patten et al., 2003; Balch et al., 2004; Massey et al., 2003; Leatherdale and McDonald, 2005). "
    [Show abstract] [Hide abstract] ABSTRACT: Well-documented challenges have hampered both intervention development and research in teen smoking cessation. Addressing these challenges, the Hutchinson Study of High School Smoking (HS Study), the largest group-randomized trial in adolescent smoking cessation to date, incorporates several design innovations to investigate the effect of a counselor-initiated, individually tailored telephone counseling smoking cessation intervention for older adolescents. This paper presents and discusses these innovative design features, and baseline findings on the resulting study population. The trial used a population-based survey to proactively identify and recruit all high school juniors who had smoked in the past month - potentially expanding intervention reach to all smokers, even those who smoked less than daily and those not motivated to quit. For ethical and intervention reasons, some nonsmokers were enrolled in the intervention, also. Other important design features included the random allocation of schools into experimental conditions (intervention vs. no-intervention control) and a multi-wave design. The design innovations address problems and challenges identified in adolescent smoking cessation literature. The heterogeneous baseline characteristics of the study population, well-balanced between the two arms, have three significant implications: They (1) demonstrate the effectiveness of the trial's design features, (2) highlight several intervention-related issues, and (3) provide assurance that the trial's evaluation of intervention effectiveness will be unbiased.
    Article · Aug 2007
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