Home-based smoking prevention program Smoke-free Kids on smoking-related cognitions: Secondary outcomes from a cluster randomized controlled trial

Objectives: The home-based smoking prevention programme ‘Smoke-free Kids’ did not have an effect on primary outcome smoking initiation. A possible explanation may be that the programme has a delayed effect. The aim of this study was to evaluate the effects on the development of important precursors of smoking: smoking-related cognitions.

Methods: We used a cluster randomised controlled trial in 9- to 11-year-old children and their mothers. The intervention condition received five activity modules, including a communication sheet for mothers, by mail at four-week intervals. The control condition received a fact-based programme. Secondary outcomes were attitudes, self-efficacy and social norms. Latent growth curves analyses were used to calculate the development of cognitions over time. Subsequently, path modelling was used to estimate the programme effects on the initial level and growth of each cognition.

Results: Analyses were performed on 1398 never-smoking children at baseline. Results showed that for children in the intervention condition, perceived maternal norms increased less strongly as compared to the control condition (β = ?.10, p = .03). No effects were found for the other cognitions.

Conclusion: Based on the limited effects, we do not assume that the programme will have a delayed effect on smoking behaviour later during adolescence.     

Predictors of Smoking Status After Eight Years: The Interaction of Stages of Change and Addiction Variables

Abstract

With a smoking rate of 30% of the population Switzerland has one of the highest rates of all industrialised countries. Changes in smoking status over eight years are examined by analysing the course of non-smokers, former smokers and current smokers between 1987 and 1995. Stages of change and addiction variables, as well as their interaction, are analysed for 1987 as predictors of smoking status in 1995.A sample of 953 non-smokers and former and current smokers was interviewed in 1987 and followed up in 1995. Between 1987 and 1995 every fifth non-smoker (20.9%) began smoking. The higher one is in the stage hierarchy the higher the probability of forward than of backward movement. Within the stages of change the likelihood of cessation is moderated by addiction variables. Thus, in the case of contemplating smokers in 1987, the more cigarettes they smoked daily at that time the less likely they were to be former smokers by 1995, but for preparating smokers who had already made an attempt to quit the converse holds - the more they smoked in 1987, the more likely they were to be non-smokers eight years later. The same holds for former smokers in 1987: former moderate smokers then were more likely to relapse than former heavy smokers. The implications for prevention and intervention are discussed.     

Utilisation de l’engagement pour limiter la valorisation des fumeurs chez les adolescents

IntroductionSocial psychology research about commitment has demonstrated that it is possible to change one people's cognition and behavior.ObjectiveThe aim of the present article is to show that commitment can be used as a reduction strategy of smokers’ valorization and smoking normativity in order to reduce smoking.MethodStudents have been followed into a longitudinal study from end of elementary school to 8th grade class. They have been divided into different groups representing the smoking prevention's degree of commitment.ResultsRsults suggest that the sooner they are engaged in schooling, the better is the prevention. Commitment intervention made later in schooling has no influence on students smoking valorization.ConclusionResults will be discussed in terms of commitment theory by highlighting that an intervention using commitment is efficient only if the target is not already committed in an opposite behavior.     

Personality traits, perceived risk, and risk-reduction behaviors: a further study of smoking and radon.

Personality traits and risk perceptions were examined as predictors of changes in smoking behavior. Participants (N = 697) were part of a randomized controlled trial of interventions to reduce exposure to the combined hazard of radon and cigarette smoke. Participants with higher perceived risk at baseline for the combination of smoking and radon were more likely to have a more restrictive household smoking ban in place at 12-month follow-up (p < .05). Risk perceptions also predicted reductions in the total number of cigarettes smoked in the home for participants in the video intervention who had high or moderate levels of extraversion (p < .01). Greater perceived risk predicted whether highly or moderately conscientious women quit smoking (p < .05). The moderating effects of personality traits should be considered when evaluating risk-reduction interventions.     

A 10-year prospective study of personality and reproductive success: Testing the mediating role of healthy living

Abstract

Objective: There is some evidence that personality relates to childbearing in adulthood but the importance of personality for reproductive capacity is unknown. This study explored cross-time associations between the major dimensions of trait personality and self-reported fertility and fecundity. Methods: A representative sample of young Australian adults [n?=?4501; age range ≈ 18–44 (women), 18–54 (men)] provided information on personality, fertility, fertility intentions, fecundity and lifestyle factors (cigarette smoking, alcohol consumption, physical activity) in 2006 and again in 2016. Older Australian adults [n?=?4359; age ≥?45 (women), ≥ 55 (men)] provided information on personality, lifestyle factors and completed fertility. Results: After controlling for sociodemographic factors, completed fertility was associated with higher agreeableness in both sexes, and lower conscientiousness and openness in women. In younger adults, higher levels of openness were associated with fewer children 10 years later in both sexes, and higher extraversion was associated with more children 10 years later in men. The association between fertility intentions and subsequent fertility was stronger among women scoring higher on conscientiousness, and women scoring higher on neuroticism were more likely to acquire medical or health difficulties in having children – an effect that was mediated by higher levels of cigarette smoking. Conclusions: The study provides initial evidence for an association between personality and the acquisition of difficulties in having children.     

Implementation and Assessment of an Empirically Validated Intervention Program to Prevent Tobacco Use Among African-American Middle-School Youth

Evaluated Project Towards No Tobacco Use (TNT), a tobacco-use prevention program delivered in schools with primarily African-American students. Students were assigned randomly by classroom to either the intervention (n=58) or to a no-treatment control group (n=40). Students in the intervention group received a curriculum-based program over the course of 10 sessions. Pre-and post-assessments of tobacco knowledge, attitudes, communication, peer refusal, and smoking tendency were gathered. Students in the intervention group differed from their peers in the control group by evidencing greater knowledge and communication skills. We found this tobacco-use prevention program useful for African-American students.This investigation was supported in full by the American Cancer Society Grant Award ACS IRG 97-151.     

Cigarette smoking and personality change across adulthood: Findings from five longitudinal samples

Personality traits are related to cigarette smoking. However, little is known about the link between smoking and change in personality. Therefore, the present study examined whether current cigarette smoking and smoking cessation are associated with personality change across adulthood. Participants (n = 15,572) aged from 20 to 92 years were drawn from five longitudinal cohorts with follow-ups that ranged from 4 to 20 years. Compared to non-smokers, current smokers were more likely to increase on neuroticism and to decline on extraversion, openness, agreeableness and conscientiousness over time. Compared to the persistent smokers, those who quit had a steeper decline in agreeableness. Cigarette smoking is related to detrimental personality changes across adulthood, and the pattern was not improved by smoking cessation.     

Adolescent socialization and use of licit and illicit substances: Impact on adult health

Abstract

This study examined the impact of adolescent substance use on young adult health. Longitudinal data from 825 participants were assessed when the participants were junior high school and high school students (1969-1973) and again in 1981. Latent variable models were used to determine what effect adolescent drug use had on later health. General substance use, which included tobacco, alcohol, stimulants, sedatives, and other hard drugs, had a small effect on adult health problems associated with substance use, and also predicted accidents related to substance use. In addition, the specific use of tobacco and cannabis in adolescence predicted later respiratory problems, while cigarette smoking during adolescence also predicted decreased physical hardiness. Lower adolescent socialization predicted post high school accidents (automobile and other) serious enough to require medical attention, and predicted increased psychosomatic and seizure symptoms, as well as general psychiatric distress. Implications of these results for the successful prevention or intervention of drug use are discussed. In addition to these results, gender differences are also examined.     

Obsessive-compulsive symptoms and cigarette smoking: an initial cross-sectional test of mechanisms of co-occurrence

ABSTRACT

Tobacco addiction and obsessive-compulsive symptoms (OCS; intrusive thoughts or impulses that cause distress and rituals) are both mediated by compulsivity and negative reinforcement. Little evidence exists to guide theory, research, treatment, and population-based prevention of this co-occurrence. We propose a conceptual model of OCS-smoking co-occurrence in which smokers with elevated OCS capitalize on smoking to assuage OCS. This secondary analysis examined associations between OCS levels and self-reported smoking motives that are model-concordant: i) negative reinforcement—smoking for relief; ii) sensorimotor—benefits of behaviors and sensations of the tobacco self-administration ritual; and iii) habitual—smoking without conscious control. A community sample of cigarette smokers enrolled in a cessation trial (N = 458; 47.2% female; M _age = 36.9; SD = 13.6) completed pre-quit self-report measures of OCS levels and smoking motives. Regression models adjusted for sociodemographic covariates and non-OCS psychopathologies indicated that OCS level was positively associated with each model-concordant motive. OCS level was also correlated with tobacco dependence severity and greater withdrawal symptom severity experienced during previous quit attempts. Those with higher OCS report greater motivation to smoke for negative reinforcement, sensorimotor behavioral-ritualistic, habit/automaticity, and stimulation reasons. Further examination of the proposed model of OCS-smoking co-occurrence is warranted to guide theory and intervention for this population.     

Predicting the Onset of Cigarette Smoking in Adolescents: A Longitudinal Study1

In a longitudinal study, the second-year-smoking status of adolescents who were initially Nonsmokers or Triers was predicted from their Year 1 standing on three types of social psychological variables: Ajzen and Fishbein's factors (predicting smoking transitions from attitudes, normative beliefs and behavioral intentions about smoking); Jessor and Jessor's distal variables (predicting smoking transitions from more generalized personality and perceived environment factors), and smoking environment variables (predicting smoking transitions from the extent of smoking models in an adolescent's social milieu). The predictive power of these three categories of factors was compared. All three classes of social psychological variables were statistically significant predictors of smoking transition, although the Ajzen and Fishbein variables were more important for Triers while the Jessor and Jessor and smoking environment variables were more important for initial Never Smokers. Moreover, each category of variables made independent contributions to the prediction of smoking transition. Finally, there were several age and sex differences in the relative importance of predictor variables. Implications of these findings for the design of effective smoking prevention programs are discussed. Smoking prevention programs might be more effective if they were aimed at a specific high risk audience (as identified by the current study) rather than at a general adolescent population.     

A psychological intervention reduces doping likelihood in British and Greek athletes: A cluster randomized controlled trial

BackgroundCurrent attempts to prevent doping through deterrence and education have had limited success and have been constrained to one country. Targeting psychological variables that have been empirically associated with doping likelihood, intention, or behaviour may help in developing interventions that are effective in preventing doping in sport.ObjectivesGuided by social cognitive theory and empirical research, the main purpose of this research was to develop an anti-doping intervention that targets three psychological variables (i.e., anticipated guilt, moral disengagement, and self-regulatory efficacy) and determine whether it is more effective than an educational intervention in reducing doping likelihood in British and Greek athletes.MethodEligible participants were identified via a screening survey administered to 934 athletes in the United Kingdom and Greece. A total of 19 sport clubs (208 athletes) across the two countries were randomly assigned to either the psychological or the educational intervention. Each intervention consisted of six 1-h sessions delivered to small groups of athletes over 6–8 weeks. Athletes completed measures of doping likelihood, anticipated guilt, moral disengagement, and self-regulatory efficacy pre and postintervention and at a 2-month follow-up.ResultsA multilevel piecewise growth model was used to examine changes in study outcomes. Analysis showed that the psychological intervention was more effective than the educational intervention in reducing doping likelihood from pre to post, but the effects of the two interventions were similar at follow-up. These effects were not affected by country. Both interventions reduced moral disengagement from pre to post, and these effects were maintained at follow-up. The psychological intervention was also more effective than the educational intervention in increasing anticipated guilt from pre to follow-up.ConclusionsTargeting psychological variables in anti-doping interventions should aid our efforts to prevent doping in sport.     

Experiential avoidance in adolescents with borderline personality disorder: comparison with a non-BPD psychiatric group and healthy controls

ABSTRACT

Previous research has identified experiential avoidance (EA) as related to a host of adolescent internalizing and externalizing problems, as well as borderline personality disorder, suggesting that it is a crosscutting factor for adolescent psychopathology. It remains unclear whether EA differs among adolescents with BPD compared to adolescents with other psychiatric disorders and healthy adolescents. The aims of this study were to 1) examine EA in adolescents with BPD compared to non-BPD inpatient adolescents and healthy adolescents, and 2) to evaluate whether EA has a unique relationship to borderline pathology over and above internalizing and externalizing. Self-report measures of BPD features, EA, and psychopathology were completed by 692 adolescents (64.5% female, M_age= 15.20). This sample included a group of psychiatric inpatient youth (n = 197 BPD; n = 403 non-BPD) and a group of healthy adolescents (n = 92). Results revealed that EA differed significantly across all three groups, with the highest level of EA evidenced in adolescents who had BPD. Furthermore, there was a significant, unique association between BPD symptoms and EA over afnd above internalizing and externalizing pathology. These findings pinpoint EA as an important risk marker and possible target of prevention or intervention for adolescent BPD.     

Conscientiousness, perceived risk, and risk-reduction behaviors: a preliminary study.

Participants (N = 343) from an Oregon community completed surveys at baseline, 3 months, and 12 months to assess personality, the perceived health risk of radon in combination with smoking, and changes in smoking behavior. Conscientiousness predicted instituting a more restrictive household smoking rule (p < .01), and perceived risk predicted reduction in cigarettes smoked per day for men (p < .001). Perceived risk predicted a reduction in the proportion of cigarettes smoked in the home for those who had high (p < .05) but not low or moderate levels of Conscientiousness, a dimension in one personality model. The results demonstrate the importance of Conscientiousness in the prediction of health behavior, particularly behavior that affects others as well as oneself.     

Secondary smoking prevention in a university setting: a randomized comparison of an experiential, theory-based intervention and a standard didactic intervention for increasing cessation motivation.

OBJECTIVE: College may represent an untapped opportunity to reach the growing number of student smokers who are at risk of progressing toward regular smoking. The aim of this study was to test the efficacy of a theory-based experiential intervention for increasing motivation to quit smoking and reducing smoking behavior. DESIGN: This study used a 3-arm, randomized design to examine the efficacy of an experiential secondary prevention intervention. The control groups included a traditional didactic smoking intervention and an experiential intervention on nutrition. MAIN OUTCOME MEASURES: The 2 primary dependent variables were change in self-reported intention to quit smoking, measured pre- and postintervention, and change in smoking behavior over the month following the intervention. RESULTS: As hypothesized, the experiential smoking intervention was more effective than either control group in increasing immediate motivation to quit, but the effect was found only among female participants. At 1-month follow-up, both smoking interventions produced higher rates of smoking cessation and reduction than did the nutrition control condition. CONCLUSION: Findings support the potential efficacy of an intensive experiential intervention for female smokers.     

Personality versus traffic accidents; meta-analysis of real and method effects

ProblemThe association between personality and traffic accident involvement has been extensively researched, but the literature is difficult to summarise, because different personality instruments and statistics have been used, and effect sizes differ strongly between studies.MethodA meta-analysis of studies which had used measures of personality which could be converted into Big Five dimensions, and traffic accidents as the dependent variable, was undertaken.AnalysisOutlier values were identified and removed. Also, analyses on effects of common method variance, type of instrument, dissemination bias and restriction of variance were undertaken.ResultsOutlier problems exist in these data, which prohibit any certainty in the conclusions. Each of the 5 personality dimensions were predictors of accident involvement, but the effects were small (r < .1), which is much weaker than in a previous meta-analysis. Effect sizes were dependent upon variance in the accident variable, and the true (population) effects could therefore be larger than the present estimates, something which could be ascertained by new studies using high-risk samples over longer time periods. Newer studies and those using Big Five instruments tended to have smaller effects. No effects of common method variance could be found.ConclusionsTests of personality are weak predictors of traffic accident involvement, compared to other variables, such as previous accidents. Research into whether larger effects of personality can be found with methods other than self-reports is needed.     

MEETING CALENDAR

Abstract

Stress, coping, and appraisal were explored in order to better understand the factors associated with smoking cessation. Employees from 61 worksites received one of three programs which incorporated the use of self-help manuals, incentives, social support groups, and cognitive-behavioral techniques. Results indicated successful quitters perceived less stress in their lives, used more problem-focused coping and less emotion-focused coping, and perceived more control over their stressors than participants who were not able to quit smoking.     

Quitting smoking: The importance of non-smoker identity in predicting smoking behaviour and responses to a smoking ban

Objective: We examined how ‘smoker’ and ‘non-smoker’ self- and group-identities and socio-economic status (SES) may predict smoking behaviour and responses to antismoking measures (i.e. the Dutch smoking ban in hospitality venues). We validated a measure of responses to the smoking ban.

Design: Longitudinal online survey study with one-year follow-up (N = 623 at T1 in 2011; N = 188 at T2 in 2012) among daily smokers.

Main outcome measures: Intention to quit, quit attempts and ‘rejecting’, ‘victimizing’, ‘socially conscious smoking’ and ‘active quitting’ responses to the smoking ban.

Results: Non-smoker identities are more important than smoker identities in predicting intention to quit, quit attempts and responses to the smoking ban, even when controlling for other important predictors such as nicotine dependence. Smokers with stronger non-smoker identities had stronger intentions to quit, were more likely to attempt to quit between measurements, and showed less negative and more positive responses to the smoking ban. The association between non-smoker self-identity and intention to quit was stronger among smokers with lower than higher SES.

Conclusion: Antismoking measures might be more effective if they would focus also on the identity of smokers, and help smokers to increase identification with non-smoking and non-smokers.     

Positive effects of low intensity recorded maternal voice on physiologic reactions in premature infants

ObjectiveTo evaluate the effect of low intensity recorded maternal voice on the physiologic reactions of healthy premature infants in the neonatal intensive care unit (NICU).MethodsPhysiologic responses of 20 healthy preterm infants in the NICU of Shariati Hospital, Tehran, were obtained during a 15 min intervention including three 5 min periods (no-sound control, audio recorded playback of mother’s voice, no-sound post-voice). The intervention was presented three times a day for three consecutive days. During each intervention, oxygen saturation (%, OSPR), heart rate (HR), and respiratory rate (RR) were recorded at 1 min intervals over the 15 min and then averaged over each 5 min period, resulting in 3 averages for each variable for each intervention.ResultsRepeated Measures Analysis of Variance were employed to examine each variable separately. Over the three days, comparison of oxygen saturation over each of the three periods (before, during voice, after) revealed an increase in oxygen saturation during the voice period, compared to the pre-voice period, which persisted over the post-voice period; there were no differences between the voice and post-voice periods. Analyses of the HR and RR data showed a decrease in both variables during the voice period compared to the pre-voice period which persisted over the post-voice period. Again, there were no differences between the voice and post-voice periods.ConclusionExposure to low intensity recorded maternal voice has positive effects on the preterm infants ‘physiologic responses.     

The dynamics of informal role development within sport teams: A case study approach

AimRecent literature suggested that informal roles can naturally arise in sport teams and impact team functioning. This case study aimed to identify the key factors involved in informal role emergence in sport teams.MethodData were collected from 27 players from one male and one female intercollegiate basketball team using multiple methods. Questionnaires were administered four times during the sport season (October–February) to assess athlete personality and informal role occupancy, and a regular season game for each team was video-recorded to objectively code athletes’ behaviors. Qualitative interviews were conducted following the end of the season with coaches and athletes from one team. Role profiles were created for each athlete, which included the information regarding his/her personality, role occupancy, and behavior frequencies. The role profiles were then organized into different role categories (e.g., task vs. social specialist) based on similarities in role occupancy, and the patterns in personality and behavior frequencies were examined within and across the categories. Interview data were analyzed thematically to complement the role profiles.ResultsMembers who occupied both task- and social-oriented informal roles were more extraverted and active, and had longer tenure compared to those who occupied no informal roles. Members specializing in task-oriented roles displayed lower extraversion and varying degrees of activity, and a social specialist was more extraverted and active. Deviant members who occupied negative roles were first-year members. The interview results suggested various person-related and contextual factors that influenced informal role development.ConclusionInformal role emergence is a complex process that occurs via an interaction of multiple factors. A conceptual framework is proposed, which offers several avenues for future research to continue to investigate role dynamics in groups.