Smoking cessation counseling practices of college/university healthcare providers: A theory based approach

• Main Author: Fagan, Kathleen Anne
• Format: Dissertation
• Language: English
• Published: ProQuest Dissertations & Theses 01.01.2004
• Subjects: Behavioral psychology; Behavioral Sciences; Colleges & universities; Counseling; Health care; Nursing; Smoking cessation
• ISBN: 9780496762118; 0496762117

The primary purpose of this study was to examine the relationships between Smoking Cessation Counseling Self-Efficacy, Knowledge of Smoking Cessation Counseling, Motivation to Counsel Smokers, Barriers to Performing Smoking Cessation Counseling, relative to the Smoking Cessation Counseling Stage of Change or readiness to change, and Smoking Cessation Intervention Practice Behaviors of healthcare providers in college/university health settings. The secondary purpose was to use the study variables from both the Transtheoretical Model of Behavior Change (TTM) and Social Cognitive Theory to show explanatory relationships between them. The third purpose was to develop and validate the multiple constructs tapped by a survey instrument, in order to collect the necessary empirical data to accomplish the primary and secondary purposes of this study. This study used a correlational survey design. The College Healthcare Provider Smoking Cessation Counseling Survey (CHPSCCS), was a seven part instrument that included pertinent demographics, intervention practices and five subscales addressing the above variables. The survey was sent to 764 members of the American College Health Association accessible national membership list who were listed in three sections: Clinical Medicine, Nurse Directed and Nursing. The total of returned usable surveys was 296. Significant relationships were found between smoking cessation counseling stage of change and all of the predictor variables including knowledge of smoking cessation counseling, motivation to perform smoking cessation counseling and barriers to perform smoking cessation counseling, providing support for the Explanatory Model that was based on Social Cognitive Theory and the Stage of Change construct derived from the Transtheoretical Model of Behavior Change (TTM). The majority of healthcare providers reported having knowledge of smoking cessation counseling and confidence to perform smoking cessation counseling behaviors based on the Five “A's” of Brief Smoking Cessation Counseling, and they were motivated to perform the behavior, however, respondents strongly indicated that there were barriers to performance. Respondents reported a lack of training in various aspects of smoking cessation counseling both in their professional medical and nursing education and in previous and current continuing education.