The smoker's health project: a self-determination theory intervention to facilitate maintenance of tobacco abstinence
Open accessAbstract
A previous randomized clinical trial based on self-determination theory (SDT) and consistent with the Public Health Service (PHS) Guideline for Treating Tobacco Use and Dependence demonstrated that an intensive intervention could change autonomous self-regulation and perceived competence, which in part facilitated long-term tobacco abstinence. The current article describes a pragmatic comparative effectiveness trial of three SDT-based intensive tobacco-dependence interventions. Eligible participants are randomized to one of the three treatment conditions designed to facilitate long-term maintenance of tobacco abstinence, namely, Community Care (CC), which includes the 6 month SDT-based intervention previously shown to promote autonomous self-regulation, perceived competence, medication use, and tobacco abstinence; Extended Need Support (ENS), which extends the 6 month SDT-based intervention to 12 months and trains an important other to provide support for smokers' basic psychological needs; and Harm Reduction (HR), which provides extended need support and recommends medication use for participants who do not want to stop smoking completely within 30 days but who are willing to reduce their cigarette use by half. The primary outcome is 12 month prolonged abstinence from tobacco, which is assessed one year following termination of treatment (two years post-randomization). Secondary outcomes include 7- and 30 day point prevalence tobacco abstinence, number of days using smoking-cessation medication, change in autonomous self-regulation and perceived competence, and perceived need support from important others.
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The instruments described have been used to assess to what extent a medical professional, healthcare intervention, or a procedure supports autonomy.
“The instruments described herein have been used in various contexts, for example to assess to what extent a medical professional (Williams et al., 2009), healthcare intervention (Williams et al., 2011; Teixeira et al., 2012) or a procedure (Ng et al., 2012) supports autonomy.”
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- Authors
- Williams, G. C., Patrick, H., Niemiec, C. P., Ryan, R. M., Deci, E. L., & Lavigne, H. M.
- Affiliations
- University of Rochester Medicine (US)
- National Cancer Institute (US)
- University of Rochester (US)
- Venue
- Contemporary Clinical Trials
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 32
- Issue
- 4
- Pages
- 535-543
- ISSN
- 1551-7144 (ISSN-L)
- PMC
- PMC3162229
- OpenAlex
- W2049701000
- Cited by
- 100
- References
- 60
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 5 · 2022: 7 · 2021: 2 · 2020: 9 · 2019: 10 · 2018: 8 · 2017: 6 · 2016: 10 · 2015: 10 · 2014: 12 · 2013: 6 · 2012: 6
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Contemporary Clinical Trials (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH059594)
- National Cancer Institute (R01CA106668)
- National Center for Research Resources (M01 RR-00044, M01RR000044, UL1RR024160)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- self-determination theory, smoking abstinence, smoking cessation, tobacco dependence, perceived competence, need support, harm reduction, smoking cessation medication, community-based care, maintenance therapy, comparative effectiveness
- MeSH terms
- Adolescent, Adult, Clinical Protocols, Humans, Motivation, Psychological Theory, Health Behavior, Smoking Cessation, Personal Autonomy, Risk Reduction Behavior, Comparative Effectiveness Research
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