Predicting the intention to quit smoking and quitting behaviour: extending the theory of planned behaviour.

OBJECTIVES The present study examined the ability of the TPB to predict the intention to quit smoking and quitting behaviour. In addition, the predictive power of future orientation, number of cigarettes smoked, planning, past behaviour and the interactions between intention and other predictors was examined. MATERIAL AND METHODS The data were derived from a longitudinal survey among 103 daily smoking students at the University of Oslo (mean age 24.6 years, mean number of years of smoking = 8 years). These data were collected by means of self-administered questionnaires at T1 (October 2003) and at T2 (February 2004) in terms of recording actual quitting. RESULTS The TPB components accounted for 30% of the variance in quitting intentions, and affective attitude and descriptive norm emerged as the strongest predictors of quitting intention. Ordinal regression analysis showed that intention was a borderline significant predictor of subsequent quitting behaviour, while the impact of PBC was non-significant (model 1). The inclusion of the additional variables improved the fit of the model, with number of cigarettes and planning appearing as significant predictors of behaviour (model 2). As predicted, there was a significant interaction between perceived control and intentions on quitting (model 3). Nagelkerke R(2) increased from .07 in model 1 to .54 in model 2, and finally to .58 in model 3. CONCLUSIONS The results indicate that affective attitude and descriptive norm play a more crucial role than the other TPB predictors in motivating smokers to quit. The results also indicate that self-regulatory strategies are important in relation to addictive behaviours.

[1]  M. Deutsch,et al.  A study of normative and informational social influences upon individual judgement. , 1955, Journal of abnormal psychology.

[2]  Fred D. Davis,et al.  Disentangling behavioral intention and behavioral expectation , 1985 .

[3]  I. Ajzen The theory of planned behavior , 1991 .

[4]  Carl A. Kallgren,et al.  A Focus Theory of Normative Conduct: A Theoretical Refinement and Reevaluation of the Role of Norms in Human Behavior , 1991 .

[5]  I. Ajzen,et al.  A Comparison of the Theory of Planned Behavior and the Theory of Reasoned Action , 1992 .

[6]  C. Judd,et al.  Statistical difficulties of detecting interactions and moderator effects. , 1993, Psychological bulletin.

[7]  D. Terry,et al.  The theory of planned behaviour: the effects of perceived behavioural control and self-efficacy. , 1995, The British journal of social psychology.

[8]  M. Hogg,et al.  Group Norms and the Attitude-Behavior Relationship: A Role for Group Identification , 1996 .

[9]  H. de Vries,et al.  Determinants of intention to quit smoking among Dutch employees: the influence of the social environment. , 1996, Preventive medicine.

[10]  G. Kok,et al.  The Theory of Planned Behavior: A Review of its Applications to Health-Related Behaviors , 1996, American journal of health promotion : AJHP.

[11]  Herman Aguinis,et al.  Methodological Artifacts in Moderated Multiple Regression and Their Effects on Statistical Power , 1997 .

[12]  Wendy Wood,et al.  Habit and intention in everyday life: The multiple processes by which past behavior predicts future behavior. , 1998 .

[13]  M. Conner,et al.  Extending the Theory of Planned Behavior: A Review and Avenues for Further Research , 1998 .

[14]  B. Verplanken,et al.  Predicting behavior from actions in the past : repeated decision making or a matter of habit? , 1998 .

[15]  Stephen Sutton,et al.  Predicting intentions and use of dental floss among adolescents: An application of the theory of planned behaviour , 1998 .

[16]  A. van Knippenberg,et al.  Habit versus planned behaviour: a field experiment. , 1998, The British journal of social psychology.

[17]  C. Abraham,et al.  From health beliefs to self-regulation: Theoretical advances in the psychology of action control , 1998 .

[18]  J. Kuhl,et al.  Maintaining a healthy diet: Effects of personality and self-reward versus self-punishment on commitment to and enactment of self-chosen and assigned goals , 1998 .

[19]  W. Bickel,et al.  Shortened time horizons and insensitivity to future consequences in heroin addicts. , 1998, Addiction.

[20]  S C Hu,et al.  The applicability of the theory of planned behavior to the intention to quit smoking across workplaces in southern Taiwan. , 1998, Addictive behaviors.

[21]  P Norman,et al.  The theory of planned behavior and smoking cessation. , 1999, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[22]  P. Gollwitzer Implementation intentions: Strong effects of simple plans. , 1999 .

[23]  Mark Conner,et al.  Distinguishing Perceptions of Control From Self‐Efficacy: Predicting Consumption of a Low‐Fat Diet Using the Theory of Planned Behavior , 1999 .

[24]  Federica Invernizzi,et al.  The role of social influence and smoker identity in resistance to smoking cessation 1This research program was supported by the Fonds National de la Recherche Scientifique, Switzerland. We are grateful to Juan Fabra for his help in collecting data. , 1999 .

[25]  P. Zimbardo,et al.  Putting Time in Perspective: A Valid, Reliable Individual-Differences Metric , 1999 .

[26]  P. Zimbardo,et al.  Who's Smoking, Drinking, and Using Drugs? Time Perspective as a Predictor of Substance Use , 1999 .

[27]  Paul Norman,et al.  The Theory of Planned Behaviour and exercise: Evidence for the moderating role of past behaviour , 2000 .

[28]  M. Conner,et al.  Efficacy of the Theory of Planned Behaviour: a meta-analytic review. , 2001, The British journal of social psychology.

[29]  G. Ainslie Breakdown of will , 2001 .

[30]  P. Sheeran,et al.  Can the theory of planned behavior explain patterns of health behavior change? , 2001, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[31]  C. Abraham,et al.  From knowledge to action regulation: Modeling the cognitive prerequisites of sun screen use in australian and uk samples , 2001 .

[32]  I. Ajzen Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. , 2002 .

[33]  D. Carroll,et al.  The Influence of Affective and Instrumental Beliefs on Exercise Intentions and Behavior: A Longitudinal Analysis , 2002 .

[34]  I. Ajzen Residual Effects of Past on Later Behavior: Habituation and Reasoned Action Perspectives , 2002 .

[35]  Ryan E Rhodes,et al.  Relationships between personality, an extended theory of planned behaviour model and exercise behaviour. , 2003, British journal of health psychology.

[36]  Ryan E Rhodes,et al.  Investigating multiple components of attitude, subjective norm, and perceived control: an examination of the theory of planned behaviour in the exercise domain. , 2003, The British journal of social psychology.

[37]  P. Sheeran,et al.  Descriptive norms as an additional predictor in the theory of planned behaviour: A meta-analysis , 2003 .

[38]  R. Cialdini CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE Crafting Normative Messages to Protect the Environment , 2022 .

[39]  Mark Conner,et al.  Applying an Extended Version of the Theory of Planned Behavior to Illicit Drug Use Among Students1 , 2003 .

[40]  Ralf Schwarzer,et al.  Planning and Self-Efficacy in the Adoption and Maintenance of Breast Self-Examination: A Longitudinal Study on Self-Regulatory Cognitions , 2003 .

[41]  K. Courneya,et al.  Modelling the theory of planned behaviour and past behaviour , 2003, Psychology, health & medicine.

[42]  M. Conner,et al.  Using the theory of planned behaviour to understand alcohol and tobacco use in students , 2003 .

[43]  J. Hughes,et al.  Concordance of different measures of nicotine dependence: two pilot studies. , 2004, Addictive behaviors.

[44]  Paul Norman,et al.  The Theory of Planned Behavior and Breast Self-Examination: Distinguishing Between Perceived Control and Self-Efficacy , 2004 .

[45]  D. Johnston,et al.  Motivation is not enough: prediction of risk behavior following diagnosis of coronary heart disease from the theory of planned behavior. , 2004, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[46]  David Trafimow,et al.  Affective and cognitive control of persons and behaviours. , 2004, The British journal of social psychology.

[47]  M. Conner,et al.  The Theory of Planned Behaviour , 2004 .

[48]  Stephen Sutton,et al.  The Importance of Affective Beliefs and Attitudes in the Theory of Planned Behavior: Predicting Intention to Increase Physical Activity , 2005 .

[49]  M. Conner,et al.  Using an extended theory of planned behaviour to understand smoking amongst schoolchildren , 2005 .

[50]  M. Hagger,et al.  First- and higher-order models of attitudes, normative influence, and perceived behavioural control in the theory of planned behaviour. , 2005, The British journal of social psychology.

[51]  L C Larabie,et al.  To what extent do smokers plan quit attempts? , 2005, Tobacco Control.

[52]  R. Schwarzer,et al.  Bridging the intention–behaviour gap: Planning, self-efficacy, and action control in the adoption and maintenance of physical exercise , 2005 .

[53]  Josue P. Keely,et al.  Intentions to quit smoking change over short periods of time. , 2005, Addictive behaviors.

[54]  M. Conner,et al.  The Theory of Planned Behavior and Exercise: Evidence for the Mediating and Moderating Roles of Planning on Intention-Behavior Relationships , 2005 .

[55]  S. Sutton,et al.  Perceived difficulty in the theory of planned behaviour: perceived behavioural control or affective attitude? , 2005, The British journal of social psychology.

[56]  Martin Fishbein,et al.  Theory-based Behavior Change Interventions: Comments on Hobbis and Sutton , 2005, Journal of health psychology.

[57]  Robert West,et al.  “Catastrophic” pathways to smoking cessation: findings from national survey , 2006, BMJ : British Medical Journal.

[58]  Ryan E. Rhodes,et al.  Effects of different measurement scales on the variability and predictive validity of the “two-component” model of the theory of planned behavior in the exercise domain , 2006 .

[59]  Paul Norman,et al.  The theory of planned behaviour and binge drinking: Assessing the moderating role of past behaviour within the theory of planned behaviour. , 2006, British journal of health psychology.

[60]  R. Rhodes,et al.  A multicomponent model of the theory of planned behaviour. , 2006, British journal of health psychology.

[61]  Jostein Rise,et al.  Predicting smoking reduction among adolescents using an extended version of the theory of planned behaviour , 2006 .

[62]  Mark Conner,et al.  Role of anticipated regret, intentions and intention stability in adolescent smoking initiation. , 2006, British journal of health psychology.

[63]  R. Schwarzer,et al.  Action plans and coping plans for physical exercise: A longitudinal intervention study in cardiac rehabilitation. , 2006, British journal of health psychology.

[64]  Inger Synnøve Moan,et al.  Quitting Smoking: Applying an Extended Version of the Theory of PlannedBehavior to Predict Intention and Behavior1 , 2007 .