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Intention to Quit Smoking Scale: Development and Validation

Year 2024, Volume: 13 Issue: 2, 626 - 634, 29.06.2024
https://doi.org/10.37989/gumussagbil.1366436

Abstract

Smoking cessation efforts are made in many countries and the results of these efforts should be measured. Therefore, there is a need for a short, feasible and validated scale that can measure the intention to quit smoking. The purpose of this study is to investigate the psychometric properties of the “Intention to Quit Smoking Scale (IQSS)”. Validity and reliability properties of the scale were examined. A total of 497 people were included in the study. First, 20 candidate items were prepared based on literature review and expert opinions and the scale with candidate items were subjected to a pilot test. The dimensional structure was determined statistically using confirmatory factor analysis and confirmed by confirmatory factor analysis. Cronbach’s α coefficient, CR and AVE values were calculated to examine internal consistency, composite reliability and convergent validity. A scale with one factor consisting of eight items was obtained. The fit indices of the single factor structure were at an acceptable level (X2/df 1.77, GFI 0.94, AGFI 0.88, CFI 0.98, NFI 0.97, RMSEA 0.079). Cronbach's alpha for IQSS was 0.943. CR was 0.95 and AVE was 0.96. The test-retest consistency of the scale was high (r=0.856). Correlations with “Smoking Cessation Success Prediction Scale” and its sub-dimensions showed that the scale provided concurrent validity (r=0.669; 0.698; 0.721 respectively). The IQSS is a short, reliable and valid scale that can measure the intention to quit smoking at the time of measurement and it can be easily used in future studies.

References

  • 1.OECD/WHO. (2020). “Health at a Glance: Asia/Pacific 2020: Measuring Progress towards Universal Health Coverage”. Paris: OECD Publishing.
  • 2. Jayawardhana, J, Bolton, H.E. and Gaughan, M. (2019). “The Association between School Tobacco Control Policies and Youth Smoking Behavior”. International Journal of Behavioral Medicine, 26 (6), 658-664.
  • 3. Doll, R, Peto, R, Boreham, J. and Sutherland, I. (2004). “Mortality in Relation to Smoking: 50 Years' Observations on Male British Doctors”. BMJ, 328 (7455), 1519-1528.
  • 4. Efroymson, D, Ahmed, S, Townsend, J, Alam, S.M, Dey, A.R, Saha, R. et al. (2001). “Hungry for Tobacco: An Analysis of the Economic Impact of Tobacco Consumption on the Poor in Bangladesh”. Tobacco Control, 10 (3), 212-217.
  • 5. Drope, J, Schluger, N, Cahn, Z, Drope, J, Hamill, S, Islami, F, Liber, A, Nargis, N. and Stoklosa, M. (2018). “The Tobacco Atlas”. Atlanta: American Cancer Society and Vital Strategies.
  • 6. WHO. (2009). “WHO Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-Free Environments”. Geneva: World Health Organization Press.
  • 7. Li, M.D. (2018). “Tobacco Smoking Addiction: Epidemiology, Genetics, Mechanisms, and Treatment”. Singapore: Springer.
  • 8. Amiri, P, Masihay-Akbar, H, Jalali-Farahani, S, Karimi, M, Momenan, A.A. and Azizi, F. (2020). “The First Cigarette Smoking Experience and Future Smoking Behaviors among Adolescents with Different Parental Risk: A Longitudinal Analysis in An Urban Iranian Population”. International Journal of Behavioral Medicine, 27 (6), 698-706.
  • 9. WHO. (2008). “Report on the Global Tobacco Epidemic, 2008. The Mpower Package”. Geneva: World Health Organization Press.
  • 10. OECD. (2021). “Daily Smokers (indicator)”. Erişim adresi: https://www.oecd-ilibrary.org/social-issues-migration-health/daily-smokers/indicator/english_1ff488c2-en (Erişim tarihi: 21th of April 2021). doi: 10.1787/1ff488c2-en
  • 11. Bayram, T, Görçin Karaketir, Ş, Özer, F, Tatar, Y, Kılınckıran, M.A, Can, N.B. and Save, D. (2022). “Accessibility of Smoking Cessation Clinics in Turkiye: A Descriptive Study among a Population of Smokers in İstanbul”. Turkish Journal of Public Health, 20 (3), 280-293.
  • 12. Calikoglu, E.O. and Koycegiz, E. (2019). “Tobacco Control Policies in Turkiye In Terms Of MPOWER”. The Eurasian Journal of Medicine, 51 (1), 80-84.
  • 13. Zhang, Y, Liu, Y, Wang, J. and Jia, C. (2014). “Mediation of Smoking Consumption on the Association of Perception of Smoking Risks with Successful Spontaneous Smoking Cessation”. International Journal of Behavioral Medicine, 21 (4), 677-681.
  • 14. Pett, M.A, Lackey, N.R. and Sullivan, J.J. (2003). “Making Sense of Factor Analysis: The Use of Factor Analysis for Instrument Development in Health Care Research”. Thousand Oaks, California: SAGE Publication.
  • 15. Hair, J.F, Ringle, C.M. and Sarstedt, M. (2011). “PLS-SEM: Indeed a Silver Bullet”. J Mark Theory Pract, 19 (2), 139–52.
  • 16. Aydemir, Y, Doğu, Ö, Dede, C. ve Çınar, N. (2019). “Sigara Bırakma Başarısı Öngörü Ölçeği: Geliştirme ve Geçerlik, Güvenirlik Çalışması”. Addicta: The Turkish Journal on Addictions, 6 (2), 387-402.
  • 17. Lebet, R.M, Asaro, L.A, Zuppa, A.F. and Curley, M.A.Q. (2018). Face and Content Validity of Variables Associated with the Difficult-to-Sedate Child in the Paediatric Intensive Care Unit: A Survey of Paediatric Critical Care Clinicians”. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses, 31 (3), 167–173.
  • 18. Marques-Vidal, P, Melich-Cerveira, J, Paccaud, F, Waeber, G, Vollenweider, P. and Cornuz, J. (2011). “Prevalence and Factors Associated with Difficulty and Intention to Quit Smoking in Switzerland”. BMC Public Health, 11 (1), 1-9.
  • 19. Wu, D, Yang, T, Cottrell, R.R, Zhou, H, Yang, X.Y. and Zhang, Y. (2015). “The Effects of Tobacco-Related Health-Warning Images on Intention to Quit Smoking among Urban Chinese Smokers”. Health Education Journal, 74 (3), 287-298.
  • 20. Abdullah, A.S.M, Ho, L.M, Kwan, Y.H, Cheung, W.L, McGhee, S.M. and Chan, W.H. (2006). “Promoting Smoking Cessation among The Elderly: What Are the Predictors of Intention to Quit and Successful Quitting?”. Journal of Aging and Health, 18 (4), 552-564.
  • 21. Butler, K.M, Ickes, M.J, Rayens, M.K, Wiggins, A.T, Ashford, K. and Hahn, E.J. (2018). “Intention to Quit Smoking and Poly Tobacco Use among College Student Smokers”. Preventive Medicine Reports, 10, 72-75.
  • 22. Willemsen, M.C, de Vries, H, van Breukelen, G. and Oldenburg, B. (1996). “Determinants of Intention to Quit Smoking among Dutch Employees: The Influence of the Social Environment”. Preventive Medicine, 25 (2), 195-202.
  • 23. van den Putte, B, Yzer, M, Willemsen, M.C. and de Bruijn, G.J. (2009). “The Effects of Smoking Self-Identity and Quitting Self-Identity on Attempts to Quit Smoking”. Health Psychology, 28 (5), 535-544.
  • 24. Moorman, M. and van den Putte, B. (2008). “The Influence of Message Framing, Intention to Quit Smoking, And Nicotine Dependence on the Persuasiveness of Smoking Cessation Messages”. Addictive Behaviors, 33 (10), 1267-1275.
  • 25. Harpe, S.E. (2015). “How to Analyze Likert and Other Rating Scale Data”. Currents in Pharmacy Teaching and Learning, 7 (6), 836-850.
  • 26. Furr M. (2011). “Scale Construction and Psychometrics for Social and Personality Psychology”. Thousand Oaks, California: SAGE Publication.
  • 27. Hair, J, Anderson, R.E, Tatham, R.L. and Black, W.C. (1995). “Multivariate Data Analysis”. 4th ed. New Jersey: Prentice-Hall Inc.
  • 28. Browne, M.W. and Cudeck, R. (1993). “Alternative Ways of Assessing Model Fit”. Newbury Park, California: SAGE Publication.
  • 29. Harrington, D. (2008) “Confirmatory Factor Analysis”. London: Oxford University Press.
  • 30. Oluboyede, Y. and Robinson, T. (2019). “Measuring Weight-Specific Quality of Life in Adolescents: An Examination of the Concurrent Validity and Test-Retest Reliability of the WAItE”. Value in Health, 22 (3), 348-354.
  • 31. Nunnally, J. and Bernstein, I. (1994). “Psychometric Theory”. 3rd ed. New York: McGraw-Hill.
  • 32. Streiner, D.L. (1994). “Figuring out Factors: The Use and Misuse of Factor Analysis”. The Canadian Journal of Psychiatry, 39 (3), 135-140.
  • 33. Kline, P. (1994) “An Easy Guide to Factor Analysis”. London: Routledge.
  • 34. Asuero, A.G, Sayago, A. and González, A.G. (2006). “The Correlation Coefficient: An Overview”. Critical Reviews in Analytical Chemistry, 36 (1), 41-59.3

Sigarayı Bırakma Niyeti Ölçeği: Geçerlilik ve Güvenilirlik Çalışması

Year 2024, Volume: 13 Issue: 2, 626 - 634, 29.06.2024
https://doi.org/10.37989/gumussagbil.1366436

Abstract

Birçok ülkede sigara bıraktırma çalışmaları yapılmaktadır ve bu çalışmaların sonuçlarının ölçülmesi gerekmektedir. Bu nedenle sigarayı bırakma niyetini ölçebilecek kısa, uygulanabilir ve geçerliliği sağlanmış bir ölçeğe ihtiyaç vardır. Bu çerçevede, bu çalışmanın amacı "Sigarayı Bırakma Niyeti Ölçeği (SBNÖ)"nin psikometrik özelliklerini incelemektir. Ölçeğin geçerlilik ve güvenilirlik özellikleri incelenmiştir. Çalışmaya toplam 497 kişi dahil edilmiştir. İlk olarak, literatür taraması ve uzman görüşlerine dayanarak 20 aday madde hazırlanmış ve aday maddelerin yer aldığı ölçek pilot teste tabi tutulmuştur. Doğrulayıcı faktör analizi kullanılarak boyutsal yapı istatistiksel olarak belirlenmiş ve doğrulayıcı faktör analizi ile doğrulanmıştır. İç tutarlılık, bileşik güvenilirlik ve yakınsak geçerliliği incelemek için Cronbach's α katsayısı, CR ve AVE değerleri hesaplanmıştır. Sekiz maddeden oluşan tek faktörlü bir ölçek elde edilmiştir. Tek faktörlü yapının uyum indeksleri kabul edilebilir düzeydedir (X2/df 1,77, GFI 0,94, AGFI 0,88, CFI 0,98, NFI 0,97, RMSEA 0,079). IQSS için Cronbach's alpha değeri 0,943'tür. CR 0,95 ve AVE 0,96'dır. Ölçeğin test-tekrar test tutarlılığı yüksektir (r=0,856). “Sigarayı Bırakma Başarısı Öngörü Ölçeği” ve alt boyutları ile korelasyonlar ölçeğin bağlam geçerliliğini sağladığını göstermiştir (sırasıyla r=0,669; 0,698; 0,721). SBNÖ, ölçüm anında sigarayı bırakma niyetini ölçebilen kısa, güvenilir ve geçerli bir ölçektir ve gelecekteki çalışmalarda kolaylıkla kullanılabilir.

References

  • 1.OECD/WHO. (2020). “Health at a Glance: Asia/Pacific 2020: Measuring Progress towards Universal Health Coverage”. Paris: OECD Publishing.
  • 2. Jayawardhana, J, Bolton, H.E. and Gaughan, M. (2019). “The Association between School Tobacco Control Policies and Youth Smoking Behavior”. International Journal of Behavioral Medicine, 26 (6), 658-664.
  • 3. Doll, R, Peto, R, Boreham, J. and Sutherland, I. (2004). “Mortality in Relation to Smoking: 50 Years' Observations on Male British Doctors”. BMJ, 328 (7455), 1519-1528.
  • 4. Efroymson, D, Ahmed, S, Townsend, J, Alam, S.M, Dey, A.R, Saha, R. et al. (2001). “Hungry for Tobacco: An Analysis of the Economic Impact of Tobacco Consumption on the Poor in Bangladesh”. Tobacco Control, 10 (3), 212-217.
  • 5. Drope, J, Schluger, N, Cahn, Z, Drope, J, Hamill, S, Islami, F, Liber, A, Nargis, N. and Stoklosa, M. (2018). “The Tobacco Atlas”. Atlanta: American Cancer Society and Vital Strategies.
  • 6. WHO. (2009). “WHO Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-Free Environments”. Geneva: World Health Organization Press.
  • 7. Li, M.D. (2018). “Tobacco Smoking Addiction: Epidemiology, Genetics, Mechanisms, and Treatment”. Singapore: Springer.
  • 8. Amiri, P, Masihay-Akbar, H, Jalali-Farahani, S, Karimi, M, Momenan, A.A. and Azizi, F. (2020). “The First Cigarette Smoking Experience and Future Smoking Behaviors among Adolescents with Different Parental Risk: A Longitudinal Analysis in An Urban Iranian Population”. International Journal of Behavioral Medicine, 27 (6), 698-706.
  • 9. WHO. (2008). “Report on the Global Tobacco Epidemic, 2008. The Mpower Package”. Geneva: World Health Organization Press.
  • 10. OECD. (2021). “Daily Smokers (indicator)”. Erişim adresi: https://www.oecd-ilibrary.org/social-issues-migration-health/daily-smokers/indicator/english_1ff488c2-en (Erişim tarihi: 21th of April 2021). doi: 10.1787/1ff488c2-en
  • 11. Bayram, T, Görçin Karaketir, Ş, Özer, F, Tatar, Y, Kılınckıran, M.A, Can, N.B. and Save, D. (2022). “Accessibility of Smoking Cessation Clinics in Turkiye: A Descriptive Study among a Population of Smokers in İstanbul”. Turkish Journal of Public Health, 20 (3), 280-293.
  • 12. Calikoglu, E.O. and Koycegiz, E. (2019). “Tobacco Control Policies in Turkiye In Terms Of MPOWER”. The Eurasian Journal of Medicine, 51 (1), 80-84.
  • 13. Zhang, Y, Liu, Y, Wang, J. and Jia, C. (2014). “Mediation of Smoking Consumption on the Association of Perception of Smoking Risks with Successful Spontaneous Smoking Cessation”. International Journal of Behavioral Medicine, 21 (4), 677-681.
  • 14. Pett, M.A, Lackey, N.R. and Sullivan, J.J. (2003). “Making Sense of Factor Analysis: The Use of Factor Analysis for Instrument Development in Health Care Research”. Thousand Oaks, California: SAGE Publication.
  • 15. Hair, J.F, Ringle, C.M. and Sarstedt, M. (2011). “PLS-SEM: Indeed a Silver Bullet”. J Mark Theory Pract, 19 (2), 139–52.
  • 16. Aydemir, Y, Doğu, Ö, Dede, C. ve Çınar, N. (2019). “Sigara Bırakma Başarısı Öngörü Ölçeği: Geliştirme ve Geçerlik, Güvenirlik Çalışması”. Addicta: The Turkish Journal on Addictions, 6 (2), 387-402.
  • 17. Lebet, R.M, Asaro, L.A, Zuppa, A.F. and Curley, M.A.Q. (2018). Face and Content Validity of Variables Associated with the Difficult-to-Sedate Child in the Paediatric Intensive Care Unit: A Survey of Paediatric Critical Care Clinicians”. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses, 31 (3), 167–173.
  • 18. Marques-Vidal, P, Melich-Cerveira, J, Paccaud, F, Waeber, G, Vollenweider, P. and Cornuz, J. (2011). “Prevalence and Factors Associated with Difficulty and Intention to Quit Smoking in Switzerland”. BMC Public Health, 11 (1), 1-9.
  • 19. Wu, D, Yang, T, Cottrell, R.R, Zhou, H, Yang, X.Y. and Zhang, Y. (2015). “The Effects of Tobacco-Related Health-Warning Images on Intention to Quit Smoking among Urban Chinese Smokers”. Health Education Journal, 74 (3), 287-298.
  • 20. Abdullah, A.S.M, Ho, L.M, Kwan, Y.H, Cheung, W.L, McGhee, S.M. and Chan, W.H. (2006). “Promoting Smoking Cessation among The Elderly: What Are the Predictors of Intention to Quit and Successful Quitting?”. Journal of Aging and Health, 18 (4), 552-564.
  • 21. Butler, K.M, Ickes, M.J, Rayens, M.K, Wiggins, A.T, Ashford, K. and Hahn, E.J. (2018). “Intention to Quit Smoking and Poly Tobacco Use among College Student Smokers”. Preventive Medicine Reports, 10, 72-75.
  • 22. Willemsen, M.C, de Vries, H, van Breukelen, G. and Oldenburg, B. (1996). “Determinants of Intention to Quit Smoking among Dutch Employees: The Influence of the Social Environment”. Preventive Medicine, 25 (2), 195-202.
  • 23. van den Putte, B, Yzer, M, Willemsen, M.C. and de Bruijn, G.J. (2009). “The Effects of Smoking Self-Identity and Quitting Self-Identity on Attempts to Quit Smoking”. Health Psychology, 28 (5), 535-544.
  • 24. Moorman, M. and van den Putte, B. (2008). “The Influence of Message Framing, Intention to Quit Smoking, And Nicotine Dependence on the Persuasiveness of Smoking Cessation Messages”. Addictive Behaviors, 33 (10), 1267-1275.
  • 25. Harpe, S.E. (2015). “How to Analyze Likert and Other Rating Scale Data”. Currents in Pharmacy Teaching and Learning, 7 (6), 836-850.
  • 26. Furr M. (2011). “Scale Construction and Psychometrics for Social and Personality Psychology”. Thousand Oaks, California: SAGE Publication.
  • 27. Hair, J, Anderson, R.E, Tatham, R.L. and Black, W.C. (1995). “Multivariate Data Analysis”. 4th ed. New Jersey: Prentice-Hall Inc.
  • 28. Browne, M.W. and Cudeck, R. (1993). “Alternative Ways of Assessing Model Fit”. Newbury Park, California: SAGE Publication.
  • 29. Harrington, D. (2008) “Confirmatory Factor Analysis”. London: Oxford University Press.
  • 30. Oluboyede, Y. and Robinson, T. (2019). “Measuring Weight-Specific Quality of Life in Adolescents: An Examination of the Concurrent Validity and Test-Retest Reliability of the WAItE”. Value in Health, 22 (3), 348-354.
  • 31. Nunnally, J. and Bernstein, I. (1994). “Psychometric Theory”. 3rd ed. New York: McGraw-Hill.
  • 32. Streiner, D.L. (1994). “Figuring out Factors: The Use and Misuse of Factor Analysis”. The Canadian Journal of Psychiatry, 39 (3), 135-140.
  • 33. Kline, P. (1994) “An Easy Guide to Factor Analysis”. London: Routledge.
  • 34. Asuero, A.G, Sayago, A. and González, A.G. (2006). “The Correlation Coefficient: An Overview”. Critical Reviews in Analytical Chemistry, 36 (1), 41-59.3
There are 34 citations in total.

Details

Primary Language English
Subjects Health Management
Journal Section Articles
Authors

Sait Söyler 0000-0002-7915-0073

Mehmet Yorulmaz 0000-0001-6670-165X

Publication Date June 29, 2024
Published in Issue Year 2024 Volume: 13 Issue: 2

Cite

APA Söyler, S., & Yorulmaz, M. (2024). Intention to Quit Smoking Scale: Development and Validation. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(2), 626-634. https://doi.org/10.37989/gumussagbil.1366436
AMA Söyler S, Yorulmaz M. Intention to Quit Smoking Scale: Development and Validation. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. June 2024;13(2):626-634. doi:10.37989/gumussagbil.1366436
Chicago Söyler, Sait, and Mehmet Yorulmaz. “Intention to Quit Smoking Scale: Development and Validation”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, no. 2 (June 2024): 626-34. https://doi.org/10.37989/gumussagbil.1366436.
EndNote Söyler S, Yorulmaz M (June 1, 2024) Intention to Quit Smoking Scale: Development and Validation. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 2 626–634.
IEEE S. Söyler and M. Yorulmaz, “Intention to Quit Smoking Scale: Development and Validation”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 13, no. 2, pp. 626–634, 2024, doi: 10.37989/gumussagbil.1366436.
ISNAD Söyler, Sait - Yorulmaz, Mehmet. “Intention to Quit Smoking Scale: Development and Validation”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/2 (June 2024), 626-634. https://doi.org/10.37989/gumussagbil.1366436.
JAMA Söyler S, Yorulmaz M. Intention to Quit Smoking Scale: Development and Validation. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13:626–634.
MLA Söyler, Sait and Mehmet Yorulmaz. “Intention to Quit Smoking Scale: Development and Validation”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 13, no. 2, 2024, pp. 626-34, doi:10.37989/gumussagbil.1366436.
Vancouver Söyler S, Yorulmaz M. Intention to Quit Smoking Scale: Development and Validation. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13(2):626-34.