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Understanding smokers’ beliefs and feelings about smoking and quitting during a quit attempt: a preliminary evaluation of the SNAP model

Published online by Cambridge University Press:  15 February 2013

Wee Lei Hum ,
Awang Bulgiba ,
Lion Shahab ,
Eleni Vangeli  and
Robert West
Wee Lei Hum*
Affiliation:
Institute of Health Behavioural Research, Ministry of Health Malaysia
Awang Bulgiba
Affiliation:
Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia
Lion Shahab
Affiliation:
Cancer Research UK, University College London
Eleni Vangeli
Affiliation:
Cancer Research UK, University College London
Robert West
Affiliation:
Cancer Research UK, University College London
*
Address for correspondence: Lei Hum Wee, Institute of Health Behavioural Research, Ministry of Health Malaysia, Jalan Rumah Sakit Bangsar, 50590 Kuala Lumpur, Malaysia. E-mail: [email protected]
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Abstract

This study sought to obtain a preliminary assessment of whether a new model of behaviour change (SNAP) could provide a useful conceptual framework for classifying smokers’ reports of their beliefs and feelings about the process of stopping smoking. Eight smokers’ clinic attendees in Malaysia underwent semi-structured interviews before and four weeks after the start of their quit attempt. A variant of Template Analysis found support for the view that smokers’ inferred identities could be reliably classified in the terms Smoker, Non-smoker, Attempter or Planner (SNAP) using self-statements about their motivation and behaviour as well as identity. There was evidence for wide variation in the coherence of smokers’ beliefs and feelings defined in terms of the proportion that fitted their modal SNAP category. As would be expected there was a shift in SNAP categories pre- to post-quit in those who were not smoking but only so far as ‘attempter’. An important next step is to assess how far lack of coherence in a given identity predicts transitions to other categories.

Keywords

smoking cessationSNAP modelbehavioural modelclinic attendeesMalaysia
Type
Articles
Information
Journal of Smoking Cessation , Volume 8 , Issue 1 , June 2013 , pp. 17 - 23
Copyright
Copyright © The Authors 2013 

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