title: Smoking cessation in cardiac patients: the influence of action plans, coping plans and self-efficacy on quitting smoking.
abstract: Smoking cessation is the most effective action for cardiac patients who smoke to improve their prognosis, yet more than one-half of cardiac patients continue to smoke after hospital admission. This study examined the influence of action plans, coping plans and self-efficacy on intention to quit and smoking cessation in cardiac patients. Cardiac patients completed a baseline questionnaire (N = 245) assessing demographic characteristics, smoking behavior, intention, self-efficacy, relapse self-efficacy and action and coping plans. Six months later (N = 184) continued abstinence from smoking was assessed. Self-efficacy predicted intention to quit smoking and was an indirect predictor of continued abstinence, through intention. Intention to quit smoking and making action plans both directly influenced continued abstinence. Future interventions to facilitate smoking cessation in cardiac patients should put strong emphasis on enhancing self-efficacy and on making specific action plans to increase the likelihood of smoking cessation.
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands, Natascha.dehoog@ou.nl.
authors.forename: Natascha
authors.initials: N
authors.lastname: de Hoog
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands.
authors.forename: Catherine
authors.initials: C
authors.lastname: Bolman
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands, Cellule D'expertise Médicale, Inspection Générale De La Sécurité Sociale, Ministère De La Sécurité Sociale, Luxembourg and.
authors.forename: Nadine
authors.initials: N
authors.lastname: Berndt
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands.
authors.forename: Esther
authors.initials: E
authors.lastname: Kers
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands.
authors.forename: Aart
authors.initials: A
authors.lastname: Mudde
authors.affiliation: Department of Health Promotion and School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
authors.forename: Hein
authors.initials: H
authors.lastname: de Vries
authors.affiliation: Faculty of Psychology and Educational Sciences, Open University of The Netherlands, Heerlen, The Netherlands.
authors.forename: Lilian
authors.initials: L
authors.lastname: Lechner
mesh_terms: D000223:Adaptation, Psychological; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000523:psychology*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D020377:Self Efficacy; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires