Abstract
Efficacy expectations are postulated to mediate all behavior change. This study examined the construct of self-efficacy in the self-change of smoking behavior. A 31-item measure of self-efficacy was used that included ratings of both temptation (cue strength) and confidence (efficacy). The subjects were 957 volunteers representing five stages of self change: (1) immotives, (2) contemplators, (3) recent quitters, (4) long-term quitters, and (5) relapsers. Subjects were assessed initially and at a 3- to 5-month follow-up. The self-efficacy scale proved to be an extremely reliable and coherent instrument with identifiable but not clearly interpretable subcomponents. Groups of subjects demonstrated significant differences in total self-efficacy scores. Efficacy expectations demonstrated small but significant relationships with smoking history variables and the pros and cons of smoking, but not with demographic, life stress, or persistence measures. Subject's efficacy evaluations at the initial assessment were related to changes in status for recent quitters and contemplators at the follow-up. The relationship between temptation and efficacy ratings is complex and varies for subjects in the various stages of change. Correlations between total self-efficacy and temptation scores were largest for contemplators (r = −.65) and relapsers (r = −.67) and smallest for the recent quitters (r = −.18). Finally, the magnitude of the difference between temptation and efficacy increased with length of abstinence for subjects in maintenance.
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Baer, P. E., Foreyt, J. P., & Wright, S. (1977). Self-directed termination of excessive cigarette use among untreated smokers.Journal of Behavior Therapy and Experimental Psychiatry, 8 71–74.
Bandura, A. (1977). Toward a unifying theory of behavioral change.Psychological Review, 84 191–215.
Bandura, A. (1982). Self-efficacy mechanism in human agency.American Psychologist, 37(2), 122–147.
Bandura, A., Adams, N. E., & Beyer, J. (1977). Cognitive processes mediating behavioral change.Journal of Personality and Social Psychology, 35 125–139.
Bandura, A., Adams, N. E., Hardy, A. B., & Howells, G. N. (1980). Tests of the generality of self-efficacy theory.Cognitive Therapy and Research, 4 39–66.
Bandura, A., & Schunk, D. H. (1981). Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation.Journal of Personality and Social Psychology, 41 586–598.
Bernstein, D., & McAlister, A. (1976). The modification of smoking behavior: Progress and problems.Addictive Behaviors, 1 89–102.
Best, J. A., & Hakstian, A. R. (1978). A situation-specific model for smoking behavior.Addictive Behaviors, 3(2), 79–92.
Biran, M., & Wilson, G. T. (1981). Treatment of phobic disorders using cognitive and exposure methods: A self-efficacy analysis.Journal of Consulting and Clinical Psychology, 49(6), 886–889.
Bourque, P., & Ladouceur, R. (1980). An investigation of various performance-based treatments with acrophobics.Behaviour Research and Therapy, 18 161–170.
Colletti, G., Supnick, J. A., & Rizzo, A. A. (1981, August).An analysis of relapse determinants for treated smokers. Paper presented at the 89th Annual Convention of the American Psychological Association, Los Angeles.
Condiotte, M. M., & Lichtenstein, E. (1981). Self-efficacy and relapse in smoking cessation programs.Journal of Consulting and Clinical Psychology, 49 648–658.
DiClemente, C. C. (1981). Self-efficacy and smoking cessation maintenance: A preliminary report.Cognitive Therapy and Research, 5 175–187.
DiClemente, C. C., & Prochaska, J. O. (1982). Self-change and therapy change of smoking behavior: A comparison of process of change in cessation and maintenance.Addictive Behaviors, 7 133–142.
Hunt, W. A., & Bespalec, D. A. (1974). An evaluation of current methods of modifying smoking behavior.Journal of Clinical Psychology, 30(4), 431–438.
Jackson, D. M. (1967).Personality Research Form. Goshen, New York: Research Psychologists Press.
Janis, I. L., & Mann, L. (1977).Decision making: A psychological analysis of conflict, choice and commitment. New York: Collier Macmillan.
Jones, E. E., & Sigall, H. (1971). The bogus pipeline: A new paradigm for measuring affect and attitude.Psychology Bulletin, 76 349–364.
Marlatt, G. A., & Gordon, J. R. (1979). Determinants of relapse: Implications for the maintenance of behavior change. In P. Davidson (Ed.),Behavioral medicine: Changing health lifestyles. New York: Brunner/Mazel.
Myerson, W. A. Foreyt, J. P., Hammond, G. S., & DiClemente, C. C. (1980, November).Self-efficacy: The development of a brief scale for prediction of success in a smoking cessation program. Paper presented at the 14th Annual Convention of the Association for Advancement of Behavior Therapy, New York.
Perri, M. G., Richards, C. S., & Schultheis, K. R. (1977). Behavioral self-control and smoking reduction: A study of self-initiated attempts to reduce smoking.Behavior Therapy, 8 360–365.
Prochaska, J. O. (1979).Systems of psychotherapy: A transtheoretical analysis. Homewood, Illinois: Dorsey Press.
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change.Psychotherapy: Theory, Research and Practice, 19(3), 276–288.
Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the life experiences survey.Journal of Consulting and Clinical Psychology, 46(5), 946.
Schwartz, J. L. (1977a). Research methodology in smoking cessation: A critique. In J. Steinfeld, W. Griffiths, K. Ball, & R. M. Taylor (Eds.),Proceedings of the Third World Conference on Smoking and Health, June 1975 (DHEW Publication No. NIH 77-1413). Washington, D.C.: U.S. Government Printing Office.
Schwartz, J. L. (1977b). Status of cessation control programs in Europe and North America. In J. Steinfeld, W. Griffiths, K. Ball, & R. M. Taylor (Eds.),Proceedings of the Third World Conference on Smoking and Health, June 1975 (DHEW Publication No. NIH 77-1413). Washington, D.C.: U.S. Government Printing Office.
Schunk, D. H. (1981). Modeling and attributional effects on children's achievement: A self-efficacy analysis.Journal of Educational Psychology, 73 93–105.
Shiffman, S. (1982). Relapse following smoking cessation: A structural analysis.Journal of Consulting and Clinical Psychology, 50(1), 71–86.
Shiffman, S., Read, L., & Jarvik, M. E. (1981, August).Self-efficacy changes following relapse crises. Paper presented at the 89th Annual Convention of the American Psychological Association, Los Angeles.
U.S. Public Health Service. (1979).Smoking and Health: A Report of the Surgeon General (DHEW Publication No. PHS 79-50066). Washington, D.C.: U.S. Government Printing Office.
Velicer, W. F. (1976). Determining the number of components from the matrix of partial correlations.Psychometrika, 41 321–337.
Velicer, W. F., DiClemente, C. C., Prochaska, J. O., & Brandenburg, N. A. (in press). A decisional balance measure for assessing and predicting smoking status.Journal of Personality and Social Psychology.
Weinberg, R. S., Yukelson, S., & Jackson, A. (1980). Effect of public and private efficacy expectations on competitive performance.Journal of Sport Psychology, 2 340–349.
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DiClemente, C.C., Prochaska, J.O. & Gibertini, M. Self-efficacy and the stages of self-change of smoking. Cogn Ther Res 9, 181–200 (1985). https://doi.org/10.1007/BF01204849
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DOI: https://doi.org/10.1007/BF01204849