PMID: 11906980Mar 22, 2002Paper

A new method for describing smokers' consulting behaviours which indicate their motivation to stop smoking: an exploration of validity and reliability

Family Practice
T ColemanA Wilson

Abstract

Smokers vary in their readiness to try stopping smoking, but there currently are no objective tools for identifying smokers' consulting behaviours which indicate their level of motivation to try stopping smoking. The aim of this study was to investigate the construct validity and inter-observer reliability of the Smokers' Motivation Code (SMC). General practice consultations between 29 different Leicestershire GPs and their patients were video-recorded. In 47 consultations, regular or occasional smokers discussed smoking with their GPs and their consulting behaviour was coded using the SMC. The reliability of three different observers' codings was investigated. Construct validity was also investigated by comparing smokers' consulting behaviours coded using the SMC with measures of motivation to stop smoking recorded on pre-consultation questionnaires. Two pairs of observers achieved good reliability when using the SMC to code smokers' consulting behaviours during a subset of 11 video-recorded consultations. For readiness behaviours (indicating motivation to stop smoking), kappas were 0.82 and 0.65, and for resistance behaviours (indicating little motivation to stop smoking), kappas were 0.74 and 1.0. For the 37 consultations at...Continue Reading

Citations

Feb 6, 2013·International Journal of Environmental Research and Public Health·Susan J Bondy, Kim L Bercovitz

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