Eating the elephant whole or in slices: views of participants in a smoking cessation intervention trial on multiple behaviour changes as sequential or concurrent tasks

Koshy, P., Mackenzie, M. , Leslie, W., Lean, M. and Hankey, C. (2012) Eating the elephant whole or in slices: views of participants in a smoking cessation intervention trial on multiple behaviour changes as sequential or concurrent tasks. BMC Public Health, 12(500), (doi: 10.1186/1471-2458-12-500)

Abstract

Background: This paper explores smoking cessation participants’ perceptions of attempting weight management alongside smoking cessation within the context of a health improvement intervention implemented in Glasgow, Scotland. <p/>Methods: One hundred and thirty-eight participants were recruited from smoking cessation classes in areas of multiple deprivation in Glasgow and randomised to intervention, receiving dietary advice, or to control groups. The primary outcome of the study was to determine the % change in body weight. Semi-structured interviews were conducted with a purposive sample of 15 intervention and 15 control participants at weeks 6 (during the intervention) and 24 (at the end of the intervention). The current paper, though predominantly qualitative, links perceptions of behaviour modification to % weight change and cessation rates at week 24 thereby enabling a better understanding of the mediators influencing multiple behaviour change. <p/>Results: Our findings suggest that participants who perceive separate behaviour changes as part of a broader approach to a healthier lifestyle, and hence attempt behaviour changes concurrently, may be at comparative advantage in positively achieving dual outcomes. <p/>Conclusions: These findings highlight the need to assess participants’ preference for attempting multiple behaviour changes sequentially or simultaneously in addition to assessing their readiness to change. Further testing of this hypothesis is warranted.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Koshy, Dr Preethi and Lean, Professor Michael and Leslie, Dr Wilma and Hankey, Dr Catherine and Mackenzie, Professor Mhairi
• Authors: Koshy, P., Mackenzie, M., Leslie, W., Lean, M., and Hankey, C.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Social Scientists working in Health and Wellbeing; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing; College of Social Sciences > School of Social and Political Sciences > Urban Studies
• Journal Name: BMC Public Health
• Publisher: BioMed Central
• ISSN: 1471-2458
• Published Online: 03 July 2012
• Copyright Holders: Copyright © 2012 The Authors
• First Published: First published in BMC Public Health 12:500
• Publisher Policy: Reproduced under a Creative Commons License