Key result
Among 149 cardiac rehabilitation patients, 31% still smoked 2-4 weeks post-discharge; intention to abstain from smoking was significantly associated with attitude, self-efficacy, and craving.
Cross-Sectional (n=149)
Yes
The intention to abstain from smoking after a cardiac event depends predominantly on attitude, self-efficacy, and craving, suggesting these should be primary targets for smoking cessation interventions in cardiac rehabilitation.
Answers are grounded in this paper and cite their sources.
May inform targeted smoking cessation in cardiac rehab; hypothesis-generating for interventions on attitude, self-efficacy, and craving.
BACKGROUND: Smoking cessation after developing coronary heart disease improves disease prognosis more than any other treatment. However, many cardiac patients continue to smoke after hospital discharge. OBJECTIVE: The aim of this study was to investigate factors associated with the intention to (permanently) abstain from smoking among cardiac rehabilitation patients 2 to 4 weeks after discharge from hospital. METHODS: A cross-sectional survey was conducted among 149 cardiac rehabilitation patients recruited from 2 cardiac rehabilitation centers in The Netherlands 2 to 4 weeks after hospital discharge, at the start of the cardiac rehabilitation period. Psychosocial cognitions including attitude toward nonsmoking, social influence, and self-efficacy were measured with a standardized and validated Dutch questionnaire based on the Attitude-Social Influence-Self-efficacy model. Anxiety was measured using the shortened version of the State-Trait Anxiety Inventory. Craving for cigarettes was assessed with 6 items measuring the urge to smoke. Intention toward nonsmoking was assessed with 2 visual analog scales indicating the strength and probability of the intention to permanently refrain from smoking. RESULTS: Of all patients, 31% still smoked after hospital discharge. The smokers had a lower self-efficacy and intention to abstain from smoking and reported higher craving. Logistic regression analyses revealed that attitudes that embraced the advantages of not smoking, self-efficacy, and craving were significantly related to the intention to (permanently) abstain from smoking, whereas social influence and anxiety were not. Actual smoking behavior moderated the relation between self-efficacy and intention: only the quitters showed a significant positive relation. Anxiety did not moderate the relationship between psychosocial cognitive factors and intention. CONCLUSIONS: The intention to (permanently) abstain from smoking, measured 2 to 4 weeks after hospitalization for a cardiac event, predominantly depends on attitude, self-efficacy, and craving. Interventions aimed at smoking cessation among cardiac rehabilitation patients should focus on these factors.
No takes yet. Share an insight, caveat, or question.
Bakker et al. (2014) conducted a cross-sectional in coronary heart disease (n=149). Psychosocial cognitive factors (attitude, self-efficacy, craving) was evaluated on Intention to (permanently) abstain from smoking. Among 149 cardiac rehabilitation patients, 31% still smoked 2-4 weeks post-discharge; intention to abstain from smoking was significantly associated with attitude, self-efficacy, and craving.
Synapse has enriched 10 related papers. Consider them for comparative context: