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Transtheoretical Model of Change Among Hospitalized African American Smokers

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Objective: To examine predicted relationships among transtheoretical model of change measures in a sample of 211 low-income, African American hospitalized smokers. Methods: We used discriminant analysis to examine differences in decisional balance and self-efficacy across stages of change for quitting. Results: Differences in decisional balance and self-efficacy were concurrent with stage differences. The function discriminated among all 3 stages with the clearest differences between precontemplation and preparation. Conclusion: Although results with this specialized sample are not generalizable, they add to the evidence that transtheoretical model of change variables are robust across populations.

Keywords: African American; measures; self efficacy; smoking; transtheoretical model of change

Document Type: Research Article


Affiliations: 1: University of Alabama at Birmingham, Birmingham, AL. 2: University of Pittsburgh, Office of Child Development, Pittsburgh, PA.

Publication date: March 1, 2004

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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