Factor Structure of the Smoking Temptation Scale: Cross-Validation in Iranian men

Document Type : Original Article

Authors

1 Environmental Health Research Center, School of Health, Golestan University of Medical Sciences, Gorgan, Iran

2 Institute of Medical Advanced Technologies, Qom University of Medical Sciences, Qom, Iran

3 Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran

4 Department of Medical Sciences, Qom Branch, Islamic Azad University, Qom, Iran

5 Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

6 Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: The transtheoretical model (TTM) is used as a framework to implement smoking cessation programs. This model has some subscales based on which the smoking temptation scale is proposed as stages movement factor. This study aimed to translate and validate the temptation subscales of the TTM questionnaire in the Iranian population.
Methods:This cross-sectional study was conducted on 387 smokers. The participants were selected using convenience sampling method. First, the smoking temptation scale designed by Velicer et al. was translated into Persian, and then, factorial validity of the hierarchical three-factor structure for this subscale was studied using factor analysis and measurement invariance (MI) methods. All analyses were performed using Mplus software.
Findings: It was observed that the hierarchical three-factor structure model had a good fit to the data [confirmatory fit index (CFI) = 0.944, Tucker-Lewis index (TLI) = 0.915, Root Mean Square Error of Approximation (RMSEA) = 0.067, standardized root mean square residual (SRMR) = 0.042]. This study showed that this factorial structure had an identical measurement and structural model in subgroups of the population such as rural and urban residence, highly educated and low educated, high income and low income, three stages of quitting, and across the three ethnicities.

Conclusion: Given the validity and reliability of the hierarchical three-factor structure for smokingtemptation scale, this measure can be used in interventional programs for smoking cessation in the Iranian male population.

Keywords

References

Glanz K, Rimer BK, Viswanath K. Health behavior
and health education: Theory, research, and practice.
Hoboken, NJ: Wiley; 2008.
2. Prochaska JO, Velicer WF. The transtheoretical
model of health behavior change. Am J Health
Promot 1997; 12(1): 38-48.
3. Plummer BA, Velicer WF, Redding CA, Prochaska
JO, Rossi JS, Pallonen UE, et al. Stage of change,
decisional balance, and temptations for smoking:
Measurement and validation in a large, school-based
population of adolescents. Addict Behav 2001;
26(4): 551-71.
4. Redding CA, Prochaska JO, Pallonen UE, Rossi JS,
Velicer WF, Rossi SR, et al. Transtheoretical
individualized multimedia expert systems targeting
adolescents' health behaviors. Cogn Behav Pract
1999; 6(2): 144-53.
5. Velicer WF, Prochaska JO. An expert system
intervention for smoking cessation. Patient Educ
Couns 1999; 36(2): 119-29.
6. Bandura A. Self-efficacy mechanism in human
agency. Am Psychol 1982; 37(2): 122-47.
7. Locke EA. Social foundations of thought and action:
A social-cognitive view. Acad Manage Rev1987;
12(1): 169-71.
8. Shiffman S. A cluster-analytic classification of
smoking relapse episodes. Addict Behav 1986;
11(3): 295-307.
9. Velicer WF, Diclemente CC, Rossi JS, Prochaska JO.
Relapse situations and self-efficacy: An integrative
model. Addict Behav 1990; 15(3): 271-83.
10. Spencer L, Pagell F, Hallion ME, Adams TB.
Applying the transtheoretical model to tobacco
cessation and prevention: A review of literature. Am
J Health Promot 2002; 17(1): 7-71.
11. Anatchkova MD, Redding CA, Rossi JS.
Development and validation of Decisional Balance
and Temptations measures for Bulgarian adolescent
smokers. Addict Behav 2006; 31(1): 155-61.
12. Anatchkova MD, Redding CA, Rossi JS.
Development and validation of transtheoretical
model measures for Bulgarian adolescent
non-smokers. Subst Use Misuse 2007; 42(1): 23-41.
13. Yasin SM, Taib KM, Zaki RA. Reliability and
construct validity of the Bahasa Malaysia version of
transtheoretical model (TTM) questionnaire for
smoking cessation and relapse among Malaysian
adult. Asian Pac J Cancer Prev 2011; 12(6):
1439-43.
14. Hoeppner BB, Redding CA, Rossi JS, Pallonen UE,
Prochaska JO, Velicer WF. Factor structure of
decisional balance and temptations scales for
smoking: cross-validation in urban female AfricanAmerican adolescents. Int J Behav Med 2012; 19(2):
217-27.
15. Sterling K, Ford K, Park H, Diamond P, McAlister
A. Assessing the invariance of smoking-related selfefficacy, beliefs, and intention among high school
current smokers. Subst Use Misuse 2013; 48(7):
477-83.
16. Sarbandi F, Niknami S, Hidarnia A, Hajizadeh E,
Montazeri A. The transtheoretical model (TTM)
questionnaire for smoking cessation: psychometric
properties of the Iranian version. BMC Public Health
2013; 13(1): 1186.
17. Ward RM, Velicer WF, Rossi JS, Fava JL,
Prochaska JO. Factorial invariance and internal
consistency for the decisional balance inventory--
short form. Addict Behav 2004; 29(5): 953-8.
18. Guo B, Aveyard P, Fielding A, Sutton S. The factor
structure and factorial invariance for the decisional
balance scale for adolescent smoking. Int J Behav
Med 2009; 16(2): 158-63.
19. Koyun A, Eroglu K. The transtheoretical model use
for smoking cessation. European Journal of Research
on Education 2014; (Special Issue); 130-4.
20. Mallin R. Smoking cessation: integration of
behavioral and drug therapies. Am Fam Physician
2002; 65(6): 1107-14.
21. Wang J, Wang X. Structural equation modeling:
Applications using Mplus. Hoboken, NJ: Wiley; 2012.
22. Cheung GW, Rensvold RB. Evaluating goodnessof-fit indexes for testing measurement invariance.
Struct Equ Modeling 2002; 9(2): 233-55.
23. Velicer WF, Prochaska JO, Fava JL, Norman GJ,
Redding CA. Smoking cessation and stress
management: Applications of the transtheoretical
model of behavior change. Homeost Health Dis
1998; 38(5-6): 216-33.

Addiction & Health
Volume 11, Issue 1
May 2019
Pages 26-34

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