title: Adding addiction to the transtheoretical model for smoking cessation.
abstract: Addiction is important to account for when designing smoking cessation interventions as withdrawal symptoms impede quitting. Ameliorating symptoms may increase those successfully quitting. A two-group, two-time, five-week, multi-site experimental design using the Transtheoretical Model examined whether addiction predicted post-intervention smoking behavior (point prevalence and stage of change), controlling for NRT (nicotine replacement therapy use) in adult FreshStart participants (N=109). The intervention group self-designated an Indigenous Helper (IH) Inde from their social network; the control group did not. The Fagerstrom Test for Nicotine Dependence (FTND) and the Stage of Change questionnaire were completed at baseline and 4 weeks. NRT use, but not the FTND, predicted smoking behavior. There is a need for an accurate nicotine addiction measure. Future smoking cessation studies should include NRT as a covariate.
authors.affiliation: Texas Tech University Health Sciences Center, School of Nursing, 3601 4th St., MS 6264, Lubbock, TX 79430, USA. Susan.andersen@ttuhsc.edu
authors.forename: Susan
authors.initials: S
authors.lastname: Andersen
mesh_terms: D000328:Adult; D016739:Behavior, Addictive / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D016540:Smoking Cessation / Q000523:psychology*; D014029:Tobacco Use Disorder / Q000628:therapy