Skip to main content
Log in

Health beliefs as predictors of success of alternate modalities of smoking cessation: Results of a controlled trial

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

The primary objective of this study was to determine whether health beliefs influenced the outcome of the three alternate modalities of reducing cigarette consumption. The study randomized volunteers either to a control group or to one of three cessation programs, using behavior modification, health education, or hypnosis. A questionnaire was used to document health beliefs, demographic characteristics, and smoking history. Blood samples were taken before and after the completion of intervention programs to measure changes in serum thiocyanate. A follow-up questionnaire was used to assess smoking behavior after 6 months. Statistically significant decreases in serum thiocyanate levels followed participation in each of the three programs. Factor analysis and reliability tests were used to identify four scales reflecting major variable dimensions in the health belief model. Significant correlations between change in serum thiocyanate and two of the scales (general health concern and perceived vulnerability) were found only for the group randomly assigned to the health education intervention program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aho, W. R. (1979). Smoking, dieting and exercise: Age differences in attitude and behaviour relevant to selected health belief model variablesR. I. Med. J. 62: 85–92.

    PubMed  Google Scholar 

  • Becker, M. H., and Maiman, L. A. (1975). Sociobehavioural determinants of compliances with health and medical care recommendations.Med. Care 13: 10–24.

    PubMed  Google Scholar 

  • Becker, M. H., Maiman, L. A., Kirscht, J. P., Haefner, P. N., and Drachman, R. N. (1977). The health belief model and prediction of dietary compliance: A field experiment.J. Health Soc. Behav. 18: 348–366.

    PubMed  Google Scholar 

  • Berkowitz, B., Ross-Townsend, A., and Kahberger, R. (1979). Hypnotic treatment of smoking: The single treatment method revised.Am. J. Psychol. 136: 83–85.

    Google Scholar 

  • Borgers, D., and Junge, B. (1979). Thiocyanate as an indicator of tobacco smoking.Prev. Med. 8: 351–357.

    PubMed  Google Scholar 

  • Canadian Cancer Society (1978).The Unconscious Act (film).

  • Chicago Lung Association (1973).The Respiratory System and Smoking, Chicago Lung Association, Chicago.

    Google Scholar 

  • Croog, S. H., and Richards, N. (1977). Health beliefs and smoking patterns in heart patients and their wives: A longitudinal study.Am. J. Publ. Health 67: 921–930.

    Google Scholar 

  • Department of Health, Education and Welfare (1979). Smoking and Health: A Report of the Surgeon General. DHEW Publ. (PHS) 79-50066, Washington, D.C.

  • Haynes, R. B. (1976). A critical review of the “determinants” of patient compliance with therapeutic regimens. In Haynes, B., and Sacket, D. (eds.),Compliance with Therapeutic Regimens, Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Jette, A., Cummings, K., Brock, S., Phelps, M., and Naessens, J. (1981). The structure and reliability of health belief indices.Health Serv. Res. 16: 1.

    Google Scholar 

  • Mallaghan, M., and Pemberton, J. (1977). Some behavioural changes in 493 patients after acute myocardial infarction.Br. J. Prev. Soc. Med. 31: 86–90.

    PubMed  Google Scholar 

  • Nunally, J. C. (1967).Psychosomatic Theory, McGraw-Hill, Toronto.

    Google Scholar 

  • Pederson, L., Wanklin, J., and Baskruilk, J. (1984). The role of health beliefs in compliance with physicians' advice to quit smoking.Soc. Sci. Med. 19(5): 573–580.

    PubMed  Google Scholar 

  • Pettigrew, A. R., and Fell, G. S. (1976). Simplified colorimetric determination of thiocyanate in biological fluids and its application to the investigation of toxic amblyopia.Clin. Chem. 18: 996.

    Google Scholar 

  • Premock, D. (1970). Mechanisms of self control. In Herst, W. A., (ed.),Learning Mechanisms in Smoking, Aldine, Chicago.

    Google Scholar 

  • Rabkin, S. W., Boyko, E., Shane, F., and Kaufert, J. (1984). A randomized trial comparing smoking cessation programs utilizing behaviour modification, health education of hypnosis.Addict. Behav. 9: 157–173.

    PubMed  Google Scholar 

  • Rosenstock, I. M. (1966). Why people use health services.Milbank Mem. Fund Q. 44: 94.

    PubMed  Google Scholar 

  • Sackett, D., and Haynes, B. (1976). Sackett-Haynes standardized compliance questionnaire. Department of Epidemiology, McMaster University, Hamilton, Ontario.

    Google Scholar 

  • Sackett, D., Haynes, B., Gibson, E., Taylor, D., Roberts, R., and Johnson, A. (1977). Hypertension control compliance and science.Am. Heart J. 94: 666–667.

    Google Scholar 

  • Schwartz, J. L. (1969). A critical review and evaluation of smoking control methods.Public Health Rep. 84: 483–506.

    PubMed  Google Scholar 

  • Spiegel, H. (1970). A single treatment method to stop smoking using ancillary self-hypnosis.Int. J. Clin. Exp. Hypnosis 18: 235–250.

    Google Scholar 

  • Suchman, E. A. (1967). Preventive health behaviour: A model for research on community health campaigns.J. Health Soc. Behav. 8: 197.

    PubMed  Google Scholar 

  • Thorensen, C. E., and Mahoney, M. J. (1974).Behavioural Self Control, Holt, Rinehart and Winston, New York.

    Google Scholar 

  • Vogt, T. M., Selvin, S., and Hulley, S. B. (1979). Comparison of biomedical and questionnaire estimates of tobacco exposure.Prev. Med. 8: 23.

    PubMed  Google Scholar 

  • Warnecke, R.,et al. (1975). Social and psychological correlates of smoking behaviour in black women.J. Health Soc. Behav. 19: 397–410.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was supported by a three-year grant provided by the Manitoba Medical Services Foundation.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kaufert, J.M., Rabkin, S.W., Syrotuik, J. et al. Health beliefs as predictors of success of alternate modalities of smoking cessation: Results of a controlled trial. J Behav Med 9, 475–489 (1986). https://doi.org/10.1007/BF00845134

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00845134

Key words

Navigation