The purpose of the study was to investigate the Multi-Stage Model (MSM), a revised version of the Transtheoretical Model (TTM), and the TTM. The MSM differs from the TTM in the number of stages, stage definitions and social cognitions which are assumed to be essential for progression in each stage. The MSM and the TTM were tested across the stages with planned contrasts and for non-linear trends (discontinuity patterns) in risk awareness, pros and cons, self-efficacy, and intention. In a cross-sectional online study, 778 respondents were asked about social cognitions related to meat consumption. Compared to the TTM, more discontinuity patterns were found in the MSM. Across the stages of the MSM, mindsets were distinguished which differed qualitatively.
The aim of the study was to assess predictive power of cognitive variables and health-promoting behaviors for the process of smoking cessation described in terms of the Transtheoretical Model (TTM). Participants in the study were 150 women (mean age 26.93, SD = 4.56 years), in uncomplicated pregnancy. Cigarette smokers constituted 29.3% of the sample, while the rest had previously quitted smoking (in that number 42.1% during pregnancy). Beliefs and expectations were measured by means of scales developed by the authoress, while health-related behaviors were assessed using the Health Behavior Inventory (HBI) by Z. Juczynski, supplemented with pregnancy-specific behaviors. TTM discontinuity patterns were tested in the study using polynomial-based orthogonal contrasts. Statistically significant linear trends were found for expectations concerning the infant's health state and the course of delivery, for beliefs about the effect of maternal smoking on infant health, as well as for pregnancy health behaviors. The obtained results were confirmed by hierarchical regression analysis, with smoking cessation explained to a larger extent by cognitive factors than by health-related behaviors. This may suggest that the TTM is a 'pseudo-stage' model, and a general change of the variables under study is of greater importance for the process of smoking cessation than focusing on the TTM stages.
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