Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study
Introduction: Smoking and use of other tobacco products are a global public health threat. The objective of the study was to predict the initiation and sustenance of smoking cessation (SC) by applying the multi-the- ory model (MTM) of health behavior change. Methods: In a cross-sectional study, the...
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Edizioni FS
2020-09-01
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| author | Sumitra SHARMA Umesh R. ARYAL Manoj SHARMA |
| author_facet | Sumitra SHARMA Umesh R. ARYAL Manoj SHARMA |
| author_sort | Sumitra SHARMA |
| collection | DOAJ |
| description | Introduction: Smoking and use of other tobacco products are a global public health threat. The objective of the study was to predict the initiation and sustenance of smoking cessation (SC) by applying the multi-the- ory model (MTM) of health behavior change.
Methods: In a cross-sectional study, the face-to-face interview was conducted by visiting different public places and coffee shops in Kathmandu Metropolitan, Nepal. A 30-item valid and reliable MTM-based survey instrument was administered to the participants who smoked cigarettes. Stepwise multiple regres- sions were conducted to explain SC behavior. The entire value of the Cronbach alpha coefficient (α) of the subscales and the scale was 0.91 which is excellent internal consistency.
Results: A total of 132 participants completed the study (93.6%). The median age of participants was 35.53 years and 75% of them were males. The median number of cigarettes smoked per day was 7. Behavioral con- fidence (β = 0.06, P = 0.02) and changes in the physical environment (β = 0.11, P = 0.01) were significant predictors for the initiation of SC. Next, emotional transformation (β = 0.25, P < 0.001) was a significant predictor for sustenance for SC.
Conclusion: MTM has the usefulness to assess both the initiation and sustenance behavior of SC. Poten- tial solutions using MTM constructs should be developed in future interventions to change behavior of SC. |
| format | Article |
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| institution | Kabale University |
| issn | 2499-5886 2499-2240 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Edizioni FS |
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| series | Journal of Health and Social Sciences |
| spelling | doaj-art-915027b811224337aa6d7adf9abedcd22025-01-18T18:20:31ZengEdizioni FSJournal of Health and Social Sciences2499-58862499-22402020-09-015339740810.19204/2020/tstn10Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional studySumitra SHARMA0Umesh R. ARYAL1Manoj SHARMA2PhD candidate, Faculty of Health, Queensland University of Technology, Brisbane, AustraliaPhD, Senior Researcher, Public Health and Environmental Research Center, Kathmandu, NepalPhD, Professor, Environmental and Occupational Health School of Public Health, University of Nevada, Las Vegas, NV, USAIntroduction: Smoking and use of other tobacco products are a global public health threat. The objective of the study was to predict the initiation and sustenance of smoking cessation (SC) by applying the multi-the- ory model (MTM) of health behavior change. Methods: In a cross-sectional study, the face-to-face interview was conducted by visiting different public places and coffee shops in Kathmandu Metropolitan, Nepal. A 30-item valid and reliable MTM-based survey instrument was administered to the participants who smoked cigarettes. Stepwise multiple regres- sions were conducted to explain SC behavior. The entire value of the Cronbach alpha coefficient (α) of the subscales and the scale was 0.91 which is excellent internal consistency. Results: A total of 132 participants completed the study (93.6%). The median age of participants was 35.53 years and 75% of them were males. The median number of cigarettes smoked per day was 7. Behavioral con- fidence (β = 0.06, P = 0.02) and changes in the physical environment (β = 0.11, P = 0.01) were significant predictors for the initiation of SC. Next, emotional transformation (β = 0.25, P < 0.001) was a significant predictor for sustenance for SC. Conclusion: MTM has the usefulness to assess both the initiation and sustenance behavior of SC. Poten- tial solutions using MTM constructs should be developed in future interventions to change behavior of SC.https://journalhss.com/wp-content/uploads/jhss_53_397-408.pdfinitiation; multi-theory model; smoking cessation; sustenance |
| spellingShingle | Sumitra SHARMA Umesh R. ARYAL Manoj SHARMA Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study Journal of Health and Social Sciences initiation; multi-theory model; smoking cessation; sustenance |
| title | Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study |
| title_full | Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study |
| title_fullStr | Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study |
| title_full_unstemmed | Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study |
| title_short | Testing the Multi-Theory Model for initiation and sustenance of smoking cessation at Kathmandu Metropolitan City, Nepal: A cross-sectional study |
| title_sort | testing the multi theory model for initiation and sustenance of smoking cessation at kathmandu metropolitan city nepal a cross sectional study |
| topic | initiation; multi-theory model; smoking cessation; sustenance |
| url | https://journalhss.com/wp-content/uploads/jhss_53_397-408.pdf |
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