探討大一學生的吸菸行為－跨理論模式的應用

Application of the Transtheoretical Model to Smoking Behavior among Freshmen

劉美媛(Meei-Yuan Liou) ； 呂昌明(Chang-Ming Lu)

《衛生教育學報》 24期 (2005/12) Pp. 47-70

https://doi.org/10.7022/JHE.200512.0047

摘要

The purpose of this study was to assess the relationships of the stages of change with self-efficacy/temptation and decisional balance, and to examine the utility of the transtheoretical model in understanding smoking behavior. A random clustered sample of 1216 freshmen was recruited from a college in Taipei county. The average age of the sample was 19.3 years. On the basis of participants, responses to the stage of smoking measure, 84.9% were in acquisition precontemplation, 2.2% in acquisition contemplation, 0.7% in acquisition preparation, 4.4% in cessation precontemplation, both 1.4% in cessation contemplation and cessation preparation, 1.2% in cessation action and 3.7% in cessation maintenance. Participants in acquisition precontemplation scored the lowest and those in cessation precontemplation scored the highest on the self-efficacy/temptation, benefit and decisional balance indices, with the trend reversed on the cons (disadvantages) scale. Significant differences between stages were found for self-efficacy/temptation and decisional balance (p＜.001), the proportion of variance accounted for these variables range from 13%~51%. These findings offer support for the transtheoretical model to apply in the antismoking programs, and implications for use of the findings by educator in developing stage- based interventions.

關鍵字

跨理論模式 ； 吸菸行為 ； 大學生

並列摘要

The purpose of this study was to assess the relationships of the stages of change with self-efficacy/temptation and decisional balance, and to examine the utility of the transtheoretical model in understanding smoking behavior. A random clustered sample of 1216 freshmen was recruited from a college in Taipei county. The average age of the sample was 19.3 years. On the basis of participants, responses to the stage of smoking measure, 84.9% were in acquisition precontemplation, 2.2% in acquisition contemplation, 0.7% in acquisition preparation, 4.4% in cessation precontemplation, both 1.4% in cessation contemplation and cessation preparation, 1.2% in cessation action and 3.7% in cessation maintenance. Participants in acquisition precontemplation scored the lowest and those in cessation precontemplation scored the highest on the self-efficacy/temptation, benefit and decisional balance indices, with the trend reversed on the cons (disadvantages) scale. Significant differences between stages were found for self-efficacy/temptation and decisional balance (p＜.001), the proportion of variance accounted for these variables range from 13%~51%. These findings offer support for the transtheoretical model to apply in the antismoking programs, and implications for use of the findings by educator in developing stage- based interventions.

並列關鍵字

transtheoretical model ； smoking behavior ； college student

參考文獻

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