PDF(Pubmed)
Abstract：
During quit attempts, smokers must overcome smoking urges triggered by environmental cues and nicotine withdrawal symptoms. This study investigates the psychometric properties of the 12-item Tobacco Urge Management Scale (TUMS), a new measure of smoking urge management behaviors.
We analyzed secondary data (n = 327) from a behavioral smoking cessation intervention trial, Kids Safe and Smokefree (KiSS).
Confirmatory factor analysis of the TUMS indicated that a one-factor model and a correlated two-factor model had similar model fit indices, and a Chi-square difference test supported the one-factor model. Further study of the parsimonious one-factor scale provided evidence of reliability and construct validity. Known group validity was evidenced by significantly higher TUMS scores in the KiSS intervention arm receiving urge management skills training than in the control arm (p < 0.001). Concurrent validity was evidenced by TUMS\'s inverse association with cigarettes smoked per day and positive associations with nonsmoking days, 7-day abstinence, and self-efficacy to control smoking behaviors (p\'s < 0.05).
The TUMS is a reliable, valid measure of smoking urge management behaviors. The measure can support theory-driven research on smoking-specific coping mechanisms, inform clinical practice by identifying coping strategies that might be under-utilized in treatment-seeking smokers, and function as a measure of treatment adherence in cessation trials that target urge management behaviors.
We analyzed secondary data (n = 327) from a behavioral smoking cessation intervention trial, Kids Safe and Smokefree (KiSS).
Confirmatory factor analysis of the TUMS indicated that a one-factor model and a correlated two-factor model had similar model fit indices, and a Chi-square difference test supported the one-factor model. Further study of the parsimonious one-factor scale provided evidence of reliability and construct validity. Known group validity was evidenced by significantly higher TUMS scores in the KiSS intervention arm receiving urge management skills training than in the control arm (p < 0.001). Concurrent validity was evidenced by TUMS\'s inverse association with cigarettes smoked per day and positive associations with nonsmoking days, 7-day abstinence, and self-efficacy to control smoking behaviors (p\'s < 0.05).
The TUMS is a reliable, valid measure of smoking urge management behaviors. The measure can support theory-driven research on smoking-specific coping mechanisms, inform clinical practice by identifying coping strategies that might be under-utilized in treatment-seeking smokers, and function as a measure of treatment adherence in cessation trials that target urge management behaviors.
摘要：
背景：在尝试退出时，吸烟者必须克服由环境线索和尼古丁戒断症状引发的吸烟冲动。本研究调查了12项烟草紧急管理量表(TUMS)的心理测量学特性，吸烟督促管理行为的新措施。
方法：我们分析了行为戒烟干预试验的次要数据（n=327），儿童安全和无烟（KiSS）。
结果：TUMS的验证性因素分析表明，单因素模型和相关的双因素模型具有相似的模型拟合指数，卡方差异检验支持单因素模型。对简约单因素量表的进一步研究提供了信度和结构效度的证据。在接受急迫管理技能培训的KiSS干预组的TUMS评分明显高于对照组（p<0.001）。TUMS与每天吸烟的香烟呈负相关，与非吸烟日呈正相关，证明了并发有效性。7天禁欲,控制吸烟行为的自我效能感(p<0.05)。
结论：TUMS是一种可靠的，吸烟冲动管理行为的有效措施。该措施可以支持理论驱动的吸烟特定应对机制研究，通过确定在寻求治疗的吸烟者中可能未充分利用的应对策略来告知临床实践，并在针对敦促管理行为的停止试验中用作治疗依从性的衡量标准。
方法：我们分析了行为戒烟干预试验的次要数据（n=327），儿童安全和无烟（KiSS）。
结果：TUMS的验证性因素分析表明，单因素模型和相关的双因素模型具有相似的模型拟合指数，卡方差异检验支持单因素模型。对简约单因素量表的进一步研究提供了信度和结构效度的证据。在接受急迫管理技能培训的KiSS干预组的TUMS评分明显高于对照组（p<0.001）。TUMS与每天吸烟的香烟呈负相关，与非吸烟日呈正相关，证明了并发有效性。7天禁欲,控制吸烟行为的自我效能感(p<0.05)。
结论：TUMS是一种可靠的，吸烟冲动管理行为的有效措施。该措施可以支持理论驱动的吸烟特定应对机制研究，通过确定在寻求治疗的吸烟者中可能未充分利用的应对策略来告知临床实践，并在针对敦促管理行为的停止试验中用作治疗依从性的衡量标准。
