Cox, Sharon;
Brown, Jamie;
Perski, Olga;
Tattan-Birch, Harry;
Shahab, Lion;
(2025)
The role of desire over obligation in explaining continued smoking abstinence.
F1000Research
10.12688/f1000research.166534.1.
(In press).
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Abstract
Objective: To assess the role of self-reported desire over obligation in explaining continued smoking abstinence among people who recently stopped smoking. Method: An observational study with cross-sectional and 12-month follow up data including 230 (45.2% female; mean age 45.4 years) adults in England who confirmed they had made a serious quit attempt and were not currently smoking at baseline. The predictor variable was assessed at baseline through responses to the statement: “I am stopping smoking because I want to rather than because I feel I have to” on a 7-point Likert scale (1 = ‘strongly disagree’; 7 = ‘strongly agree’). The outcome was smoking status at 12-month follow-up. Covariates were baseline sociodemographic and smoking-related characteristics. Associations were assessed with logistic regression. Results: At 12-month follow-up, 59.1% (n=136) reported they were still not smoking and 40.9% (n=94) had restarted smoking. Longer time since quit was positively associated with quit success maintenance at 12- months (adjusted Odds Ratio (AOR) 1.28, 95% Confidence Interval (CI) 1.04-1.58). People who were more strongly motivated to quit by desire were equally or less likely to still be abstinent at 12-months than those who were more motivated by obligation (AOR 0.85, 95%CI 0.70-1.01). Conclusion: Being more motivated by desire than obligation does not appear to be positively associated with continued smoking abstinence at 12-month follow-up. This suggests obligation over desire may play more of a role in sustaining quit attempts, but more data across multiple time points are needed to understand this association.
| Type: | Article |
|---|---|
| Title: | The role of desire over obligation in explaining continued smoking abstinence |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.12688/f1000research.166534.1 |
| Publisher version: | https://doi.org/10.12688/f1000research.166534.1 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Smoking, motivation, PRIME theory, cessation, tobacco, ex-smoker, quit success, desire, obligation |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10215265 |
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