Self-efficacy in predicting smoking cessation: A prospective study in Italy.

Content Provider	Europe PMC
Author	Gallus, Silvano Cresci, Chiara Rigamonti, Vera Lugo, Alessandra Bagnardi, Vincenzo Fanucchi, Tiziana Cirone, Donatello Ciaccheri, Angela Cardellicchio, Salvatore
Copyright Year	2023
Abstract	INTRODUCTIONPredicting the success of smoking cessation might be crucial to guide towards the treatment of smoking dependence in a clinical setting. We analyzed the potential determinants of successful smoking cessation with a specific focus on self-efficacy in predicting quitting smoking.METHODSAll consecutive smokers (n=478; 224 men and 254 women) attending the Careggi University Hospital Smoking Cessation Service in Florence (Italy) in 2018–2019 provided information on self-efficacy in predicting smoking cessation, using a 1–10 rating scale during their first visit. Patients were followed up for success in quitting smoking at 3, 6 and 12 months, validated through CO exhaled measurement. To evaluate the association between self-efficacy and the probability of success, we estimated multivariable relative risks (RRs) and corresponding 95% confidence intervals (CIs) through log-binomial models for longitudinal data.RESULTSOverall, 47.9% of smokers succeeded in their attempt to quit at 3 months, 40.2% at 6 months, and 33.9% at 12 months. Compared to low self-efficacy (rating scale 1–5), the RR of success in quitting smoking was 1.40 (95% CI: 1.06–1.85) for intermediate self-efficacy (scale 6–7) and 1.64 (95% CI: 1.28–2.12) for high self-efficacy (scale 8–10).CONCLUSIONSSelf-efficacy is an independent determinant of smoking cessation. We recommend to systematically collect self-efficacy, together with other relevant variables, to predict successful smoking cessation. Moreover, strategies to develop and maintain high levels of self-efficacy are essential to increase quit success and improve treatment.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10141785&blobtype=pdf
Journal	Tobacco Prevention & Cessation [Tob Prev Cessat]
Volume Number	9
DOI	10.18332/tpc/162942
PubMed Central reference number	PMC10141785
PubMed reference number	37125003
e-ISSN	24593087
Language	English
Publisher	European Publishing on behalf of the European Network for Smoking and Tobacco Prevention (ENSP)
Publisher Date	2023-04-28
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License. © 2023 Gallus S. et al.
Subject Keyword	tobacco smoking self-efficacy smoking cessation smoking cessation service
Content Type	Text
Resource Type	Article
Subject	Health (social science) Epidemiology Health Professions Public Health, Environmental and Occupational Health