Smoking cessation in cardiac patients: the influence of action and coping plans and self-efficacy

N. De Hoog, C. Bolman, E. Kers, N. Berndt, A. Mudde, H. de Vries, L. Lechner

    Research output: Contribution to conferenceAbstractAcademic


    Smoking cessation is the most effective treatment for smokers with coronary heart disease,
    yet more than half of cardiac patients continue to smoke. This study examined some factors
    that could explain (un)successful smoking cessation in cardiac patients in the postmotivational phase, as postulated by the I-change model (De Vries et al., 2003). In particular,
    we examined the influence of making action and coping plans and self-efficacy on intention
    to quit and actual smoking cessation.
    Cardiac patients from eight hospitals in the Netherlands filled in a baseline questionnaire (N =
    245) during their hospital stay, consisting of demographic and smoking characteristics,
    intention to quit smoking, smoking behavior, self-efficacy, and making of action plans and
    coping plans. The follow up six months later (N = 184) included smoking behavior (continued
    Both individual and number of action plans had a direct effect on continued abstinence,
    whereas coping plans were unrelated to continued abstinence. Self-efficacy explained 36% of
    the variance of intention to quit smoking and was also an indirect predictor of continued
    abstinence, through intention. Intention to quit smoking and number of action plans both
    directly influenced continued abstinence, explaining 31% of the variance in continued
    Future interventions to facilitate smoking cessation in cardiac patients should put more
    emphasis on improving self-efficacy. Moreover, making specific action plans could increase
    the effectiveness of smoking cessation.
    Original languageEnglish
    Number of pages1
    Publication statusPublished - 2014
    Event2014 International Congress of Behavioral Medicine: Innovation in Behavioral Medicine - Groningen , Netherlands
    Duration: 20 Aug 201423 Aug 2014


    Conference2014 International Congress of Behavioral Medicine
    Abbreviated titleICBM 2014
    Internet address


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