Associate Professor and Department Head of Nursing.
Reversal theory states and cigarette availability predict lapses during smoking cessation among adolescents†
Article first published online: 21 JUL 2003
Copyright © 2003 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 26, Issue 4, pages 263–272, August 2003
How to Cite
Burris, R. F. and O'Connell, K. A. (2003), Reversal theory states and cigarette availability predict lapses during smoking cessation among adolescents. Res. Nurs. Health, 26: 263–272. doi: 10.1002/nur.10096
The authors would like to acknowledge the assistance of Dr. Joseph Schwartz and Steve Grossman for help with the multilevel random-effects logistic regression analysis.
- Issue published online: 21 JUL 2003
- Article first published online: 21 JUL 2003
- Manuscript Accepted: 16 JUN 2003
- Manuscript Received: 10 AUG 2001
- American Nurses Foundation
- University of Arkansas for Medical Sciences Graduate Student Research Funds
- reversal theory;
- smoking cessation;
- cigarette availability
Although 67% of adolescent smokers say they want to quit, only 7% are able to do so. The purpose of this study was to use metamotivational states as described in reversal theory to predict whether adolescents who are trying to quit smoking will lapse (smoke a cigarette) or will resist smoking in highly tempting situations. Reversal theory holds that individuals switch between telic (serious-minded) and paratelic (playful) metamotivational states. Questionnaires and semistructured interviews were administered to 62 adolescents ages 14–19 who had participated in a smoking cessation program. Interviews were coded according to the Metamotivational State Interview and Coding Schedule, and the resulting data were analyzed using logistic regression analysis. Adolescents in the paratelic metamotivational state (OR = 15.34; 95% CI: 5.3, 43.6) or with cigarettes readily available (OR = 4.6; 95% CI: 1.6, 13.2) were more likely to lapse than were adolescents in the telic state or who required effort to obtain cigarettes. The variables telic/paratelic state and cigarette availability accurately predicted the outcome of highly tempting situations 80% of the time. Using reversal theory constructs to develop state-specific strategies shows promise as an additional tool for those in this age group coping with the temptation to smoke. © 2003 Wiley Periodicals, Inc. Res Nurs Health 26:263–272, 2003