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TABAC > sevrage tabagique > méthode de sevrage > méthode individuelle > approche psychologique > entretien motivationnel > modèle transthéorique
modèle transthéorique |
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Ajouter le résultat dans votre panier Affiner la rechercheBack to the drawing board? A review of applications of the transtheoretical model to substance use / Stephen Sutton (2001)
Titre : Back to the drawing board? A review of applications of the transtheoretical model to substance use Type de document : texte imprimé Auteurs : Stephen Sutton, Auteur Editeur : Society for the study of addiction to alcohol and other drugs Année de publication : 2001 Collection : Addiction num. 96 (1) Importance : p. 175-186 Langues : Anglais (eng) Catégories : [TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche psychologique:entretien motivationnel:modèle transthéorique
[TABAC] tabagisme:aspect psychologique:comportementIndex. décimale : TA 6.2.2.1 Méthode comportementale Résumé : The transtheoretical model (TTM) is still enormously popular with practitioners, clinicians and many researchers in the addictions . eld. However, in a recent years a number of commentators have criticized aspects of the model and the research based on it. This paper extends a recent critique of the TTM as applied to smoking cessation to include applications of the model to cessation or reduction of alcohol or drug use. The . rst section discusses measures of the central construct of stages of change and notes a number of serious problems. Staging algorithms are based on arbitrary time periods and some are logically awed. In the case of multi-dimensional questionnaires (the URICA, the SOCRATES and the RCQ), the pattern of correlations among the subscales shows that they are not measuring discrete stages of change. The one study to date that has compared the two different methods found low concordance, which is probably due to incompatible stage de. nitions. In the second section of the paper, the evidence base for the TTM is reviewed. The review is organized by the four research designs that have been used to test predictions from stage models: cross-sectional comparisons of people in different stages examination of stage sequences longitudinal prediction of stage transitions and experimental studies of matched and mismatched interventions. It concludes that current evidence for the model as applied to substance use is meagre and inconsistent. Researchers are urged to develop better stage models. Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=1413 Exemplaires (1)
Code-barres Cote Support Localisation Section Disponibilité TA 002432 TA 6.2.2.1 SUT B Article/Périodique Bibliothèque FARES Tabac Consultation sur place
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Titre : Do the transtheoretical model process of change, decisional balance and temptation predict stage movement ? Evidence from smoking cessation in adolescents Type de document : texte imprimé Auteurs : Boliang Guo, Auteur ; Paul Aveyard, Auteur ; Antony Fielding, Auteur ; Stephen Sutton, Auteur Editeur : Society for the study of addiction to alcohol and other drugs Année de publication : 2009 Collection : Addiction num. 104 (5) Importance : p.828-838 Catégories : [DIVERS] personne:famille:adolescent
[TABAC] sevrage tabagique
[TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche psychologique:entretien motivationnel:modèle transthéorique
[TABAC] tabagisme:aspect psychologique:comportementIndex. décimale : TA 6.2.2.1 Méthode comportementale Résumé : AIMS: To examine the effects of processes of change (POC) on forward stage movement directly, indirectly through decisional balance and temptation, and total effects as a test of the key hypothesis of the Transtheoretical Model (TTM). DESIGN: Prospective cohort study. SETTING: United Kingdom. PARTICIPANTS: A total of 1160 adolescents aged 13-14 years who were current or former smokers at baseline. MEASUREMENTS: Stage was assessed with the standard algorithm three times, once every 3 months. On each occasion the POC, decisional balance and temptation were measured with the standard questionnaires. Path analysis was used to examine the direct, indirectly mediated and total contribution of POC and the other constructs to stage movement 3 months later. FINDINGS: Four of the 24 analyses showed evidence that the theoretically appropriate POC predicted stage transition, with statistically significant total effects. Effect sizes were small. When the POC were summarized to experiential and behavioural process means, one transition from pre-contemplation was predicted by experiential processes and, contrary to the TTM, one transition predicted by behavioural processes. There was slightly more evidence that decisional balance (attitudes towards smoking) and temptation (ability to resist the urge to smoke) was associated with stage transition. CONCLUSIONS: POC use was not associated generally with stage transition and evidence that effects, if missed, must be modest, giving no support to the central tenet of the TTM. Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=1414 Exemplaires (1)
Code-barres Cote Support Localisation Section Disponibilité TA 002433 TA 6.2.2.1 GUO D Article/Périodique Bibliothèque FARES Tabac Consultation sur place
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Titre : Stage-based interventions for smoking cessation Type de document : texte imprimé Auteurs : Kate Cahill, Auteur ; T. Lancaster, Auteur ; Natasha Green, Auteur Editeur : The Cochrane Collaboration Année de publication : 2010 Collection : Cochrane Database of Systematic Reviews num. 11 Importance : 3 p. Langues : Anglais (eng) Catégories : [TABAC] étude
[TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche psychologique:entretien motivationnel:modèle transthéoriqueIndex. décimale : TA 6.2.2.1 Méthode comportementale Résumé : BACKGROUND:
The transtheoretical model is the most widely known of several stage-based theories of behaviour. It proposes that smokers move through a discrete series of motivational stages before they quit successfully. These are precontemplation (no thoughts of quitting), contemplation (thinking about quitting), preparation (planning to quit in the next 30 days), action (quitting successfully for up to six months), and maintenance (no smoking for more than six months). According to this influential model, interventions which help people to stop smoking should be tailored to their stage of readiness to quit, and are designed to move them forward through subsequent stages to eventual success. People in the preparation and action stages of quitting would require different types of support from those in precontemplation or contemplation.
OBJECTIVES:
Our primary objective was to test the effectiveness of stage-based interventions in helping smokers to quit.
SEARCH STRATEGY:
We searched the Cochrane Tobacco Addiction Group's specialised register for trials, using the terms ('stage* of change', 'transtheoretical model*', 'trans-theoretical model*, 'precaution adoption model*', 'health action model', 'processes of change questionnaire*', 'readiness to change', 'tailor*') and 'smoking' in the title or abstract, or as keywords. The latest search was in August 2010.
SELECTION CRITERIA:
We included randomized controlled trials, which compared stage-based interventions with non-stage-based controls, with 'usual care' or with assessment only. We excluded trials which did not report a minimum follow-up period of six months from start of treatment, and those which measured stage of change but did not modify their intervention in the light of it.
DATA COLLECTION AND ANALYSIS:
We extracted data in duplicate on the participants, the dose and duration of intervention, the outcome measures, the randomization procedure, concealment of allocation, and completeness of follow up.The main outcome was abstinence from smoking for at least six months. We used the most rigorous definition of abstinence, and preferred biochemically validated rates where reported. Where appropriate we performed meta-analysis to estimate a pooled risk ratio, using the Mantel-Haenszel fixed-effect model.
MAIN RESULTS:
We found 41 trials (>33,000 participants) which met our inclusion criteria. Four trials, which directly compared the same intervention in stage-based and standard versions, found no clear advantage for the staging component. Stage-based versus standard self-help materials (two trials) gave a relative risk (RR) of 0.93 (95% CI 0.62 to 1.39). Stage-based versus standard counselling (two trials) gave a relative risk of 1.00 (95% CI 0.82 to 1.22). Six trials of stage-based self-help systems versus any standard self-help support demonstrated a benefit for the staged groups, with an RR of 1.27 (95% CI 1.01 to 1.59). Twelve trials comparing stage-based self help with 'usual care' or assessment-only gave an RR of 1.32 (95% CI 1.17 to 1.48). Thirteen trials of stage-based individual counselling versus any control condition gave an RR of 1.24 (95% CI 1.08 to 1.42). These findings are consistent with the proven effectiveness of these interventions in their non-stage-based versions. The evidence was unclear for telephone counselling, interactive computer programmes or training of doctors or lay supporters. This uncertainty may be due in part to smaller numbers of trials.
AUTHORS' CONCLUSIONS:
Based on four trials using direct comparisons, stage-based self-help interventions (expert systems and/or tailored materials) and individual counselling were neither more nor less effective than their non-stage-based equivalents. Thirty-one trials of stage-based self help or counselling interventions versus any control condition demonstrated levels of effectiveness which were comparable with their non-stage-based counterparts. Providing these forms of practical support to those trying to quit appears to be more productive than not intervening. However, the additional value of adapting the intervention to the smoker's stage of change is uncertain. The evidence is not clear for other types of staged intervention, including telephone counselling, interactive computer programmes and training of physicians or lay supporters. The evidence does not support the restriction of quitting advice and encouragement only to those smokers perceived to be in the preparation and action stages.En ligne : https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004492.pub4/full Format de la ressource électronique : Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=8079 Exemplaires (1)
Code-barres Cote Support Localisation Section Disponibilité TA 005631 TA 6.2.2.1 CAH S Article/Périodique Bibliothèque FARES Tabac Consultation sur place
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Titre : Time for a change : putting the transtheoretical (stages of change) model to rest Type de document : texte imprimé Auteurs : Robert West, Auteur ; Thaddeus A. Herzog, Auteur ; Jean-François Etter, Auteur ; David C. Hodgins, Auteur ; Stephen Sutton, Auteur ; Carlo C. Diclemente, Auteur Editeur : Society for the study of addiction to alcohol and other drugs Année de publication : 2005 Collection : Addiction num. 100 (8) Importance : p. 1036-1039 Langues : Anglais (eng) Catégories : [TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche psychologique:entretien motivationnel:modèle transthéorique
[TABAC] tabagisme:aspect psychologique:comportementIndex. décimale : TA 6.2.2.1 Méthode comportementale Résumé : Argumentations en faveur de l'abandon du modèle transthéorique, et commentaires En ligne : https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1360-0443.2005.01139.x Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=1412 Aucun avis, veuillez vous identifier pour ajouter le vôtre !
