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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2012

Open Access 01-12-2012 | Research

Motivation rulers for smoking cessation: a prospective observational examination of construct and predictive validity

Authors: Edwin D Boudreaux, Ashley Sullivan, Beau Abar, Steven L Bernstein, Adit A Ginde, Carlos A Camargo Jr

Published in: Addiction Science & Clinical Practice | Issue 1/2012

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Abstract

Background

Although popular clinically, the psychometric properties of motivation rulers for tobacco cessation are unknown. This study examined the psychometric properties of rulers assessing importance, readiness, and confidence in tobacco cessation.

Methods

This observational study of current smokers was conducted at 10 US emergency departments (EDs). Subjects were assessed during their ED visit (baseline) and reassessed two weeks later. We examined intercorrelations between the rulers as well as their construct and predictive validity. Hierarchical multinomial logistic regressions were used to examine the rulers’ predictive ability after controlling for covariables.

Results

We enrolled 375 subjects. The correlations between the three rulers ranged from 0.50 (between Important and Confidence) to 0.70 (between Readiness and Confidence); all were significant (p < 0.001). Individuals in the preparation stage displayed the highest motivation-ruler ratings (all rulers F 2, 363 ≥ 43; p < 0.001). After adjusting for covariables, each of the rulers significantly improved prediction of smoking behavior change. The strength of their predictive ability was on par with that of stage of change.

Conclusion

Our results provide preliminary support for the psychometric soundness of the importance, readiness, and confidence rulers.
Appendix
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Metadata
Title
Motivation rulers for smoking cessation: a prospective observational examination of construct and predictive validity
Authors
Edwin D Boudreaux
Ashley Sullivan
Beau Abar
Steven L Bernstein
Adit A Ginde
Carlos A Camargo Jr
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2012
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/1940-0640-7-8

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