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Longitudinal associations between people's cessation-related experiences and their satisfaction with cessation
Authors:Austin S. Baldwin  Alexander J. Rothman  Andrew W. Hertel  Nora K. Keenan  Robert W. Jeffery
Affiliation:1. CRIISP (152), Iowa City VA Health Care System , 601 Highway 6 West, Iowa City, 52246, United States;2. Department of Psychology , University of Iowa, E11 Seashore Hall, Iowa City, 52242, United States austin.baldwin@va.gov;4. Department of Psychology , University of Minnesota , 75 East River Road, Minneapolis, 55455, United States;5. Division of Epidemiology and Community Health , School of Public Health, University of Minnesota , Minneapolis, United States
Abstract:We sought to determine whether different social, psychological, emotional, and physiological experiences associated with quitting smoking related to people's satisfaction with cessation systematically, and whether the strength of the relations changes at different points during the cessation process and for different people (e.g., optimists). Using data from smokers enrolled in a cessation program, we used mixed models to assess the average longitudinal relation between people's experiences and satisfaction measured at seven time points and whether the relations were moderated by key variables. Eight of nine experiences were related to people's satisfaction (ps < 0.05) and the models accounted for 39–44% of the within-person variance in satisfaction. Current smoking behavior was more strongly related to people's satisfaction during their early efforts to quit, whereas some experiences (e.g., feedback from others) had a stronger relation with satisfaction during people's later efforts to quit or maintain abstinence (ps < 0.05). Individual differences in optimism and prior cessation experience moderated some of the relations (ps < 0.05). The findings mark the first evidence of factors that might influence how people determine their satisfaction with smoking cessation. The implications for tailoring interventions and potentially increasing the likelihood that people maintain abstinence are discussed.
Keywords:satisfaction  smoking cessation  cessation experiences  behavior change maintenance
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