{"id":{"repo_id":"unt","oai_identifier":"info:ark/67531/metadc4571"},"canonical_url":"https://search.dev.ndltd.org/etd/unt/info:ark/67531/metadc4571","repository":{"repo_id":"unt","name":"University of North Texas","base_url":"https://digital.library.unt.edu/oai/"},"display":{"title":"Reasons for attrition from a smoking cessation program.","abstract":"The present study examined various psychosocial variables that may influence success in a stop smoking program (QuitSmart) used by the North Texas Veterans Health Care Service (NTVHCS). The QuitSmart program utilizes the Stages of Change Model, with its focus on the last three stages (preparation, action, and maintenance). It was proposed that factors including shame-proneness, guilt, anger/hostility, depression, self-efficacy - both global and smoking situational, neuroticism, and level of nicotine dependence might individually or in combination predict attrition from the NTVHCS smoking cessation program. Results indicate that shame-proneness, guilt, anger/hostility, and depression did not individually predict attrition. Persons with high levels of smoking situational self-efficacy tend to utilize self-change strategies leading to greater success in smoking cessation. Participants with a psychological diagnosis, when combined with neuroticism and shame-proneness, appear to have more difficulty with cessation than those with only a medical diagnosis. Clinical implications and suggestions for change to the NTVHCS smoking cessation program are discussed.","abstract_html":"The present study examined various psychosocial variables that may influence success in a stop smoking program (QuitSmart) used by the North Texas Veterans Health Care Service (NTVHCS). The QuitSmart program utilizes the Stages of Change Model, with its focus on the last three stages (preparation, action, and maintenance). It was proposed that factors including shame-proneness, guilt, anger/hostility, depression, self-efficacy - both global and smoking situational, neuroticism, and level of nicotine dependence might individually or in combination predict attrition from the NTVHCS smoking cessation program. Results indicate that shame-proneness, guilt, anger/hostility, and depression did not individually predict attrition. Persons with high levels of smoking situational self-efficacy tend to utilize self-change strategies leading to greater success in smoking cessation. Participants with a psychological diagnosis, when combined with neuroticism and shame-proneness, appear to have more difficulty with cessation than those with only a medical diagnosis. Clinical implications and suggestions for change to the NTVHCS smoking cessation program are discussed.","abstract_has_math":false,"creators":["Taber, Iris"],"institution":"University of North Texas","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Sewell, Kenneth W.","Besyner, James K.","Neumann, Craig S.","Fritsch, Eric J."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2004,"date_issued":"2004-08","date_published":"2004-08","updated_at":"2026-07-24T05:35:09Z","subjects":["Smoking cessation.","attrition","tobacco","addiction","smoking","NTVHCS"],"languages":["English"],"rights":["Public","Copyright","Taber, Iris","Copyright is held by the author, unless otherwise noted. All rights reserved."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oclc: 56828902","https://digital.library.unt.edu/ark:/67531/metadc4571/","ark: ark:/67531/metadc4571"],"render_values":[{"text":"oclc: 56828902","href":null,"code":true},{"text":"https://digital.library.unt.edu/ark:/67531/metadc4571/","href":"https://digital.library.unt.edu/ark:/67531/metadc4571/","code":true},{"text":"ark: ark:/67531/metadc4571","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/10.12794/metadc4571","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Sewell, Kenneth W.","Besyner, James K.","Neumann, Craig S.","Fritsch, Eric J."]},{"key":"dc:creator","label":"Author","values":["Taber, Iris"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2004-08"]},{"key":"dc:publisher","label":"Institution","values":["University of North Texas"]},{"key":"dc:type","label":"Dc Type","values":["Thesis or Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Smoking cessation.","attrition","tobacco","addiction","smoking","NTVHCS"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["Public","Copyright","Taber, Iris","Copyright is held by the author, unless otherwise noted. 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Results indicate that shame-proneness, guilt, anger/hostility, and depression did not individually predict attrition. Persons with high levels of smoking situational self-efficacy tend to utilize self-change strategies leading to greater success in smoking cessation. Participants with a psychological diagnosis, when combined with neuroticism and shame-proneness, appear to have more difficulty with cessation than those with only a medical diagnosis. Clinical implications and suggestions for change to the NTVHCS smoking cessation program are discussed."]},{"key":"dc:format","label":"Dc Format","values":["Text"]},{"key":"dc:title","label":"Title","values":["Reasons for attrition from a smoking cessation program."]}]}],"canonical_facts":{"dc:contributor":["Sewell, Kenneth W.","Besyner, James K.","Neumann, Craig S.","Fritsch, Eric J."],"dc:creator":["Taber, Iris"],"dc:date":["2004-08"],"dc:description":["The present study examined various psychosocial variables that may influence success in a stop smoking program (QuitSmart) used by the North Texas Veterans Health Care Service (NTVHCS). The QuitSmart program utilizes the Stages of Change Model, with its focus on the last three stages (preparation, action, and maintenance). It was proposed that factors including shame-proneness, guilt, anger/hostility, depression, self-efficacy - both global and smoking situational, neuroticism, and level of nicotine dependence might individually or in combination predict attrition from the NTVHCS smoking cessation program. Results indicate that shame-proneness, guilt, anger/hostility, and depression did not individually predict attrition. Persons with high levels of smoking situational self-efficacy tend to utilize self-change strategies leading to greater success in smoking cessation. Participants with a psychological diagnosis, when combined with neuroticism and shame-proneness, appear to have more difficulty with cessation than those with only a medical diagnosis. Clinical implications and suggestions for change to the NTVHCS smoking cessation program are discussed."],"dc:format":["Text"],"dc:identifier":["oclc: 56828902","doi: 10.12794/metadc4571","https://digital.library.unt.edu/ark:/67531/metadc4571/","ark: ark:/67531/metadc4571"],"dc:language":["English"],"dc:publisher":["University of North Texas"],"dc:rights":["Public","Copyright","Taber, Iris","Copyright is held by the author, unless otherwise noted. All rights reserved."],"dc:subject":["Smoking cessation.","attrition","tobacco","addiction","smoking","NTVHCS"],"dc:title":["Reasons for attrition from a smoking cessation program."],"dc:type":["Thesis or Dissertation"]},"updated_at":"2026-07-24T05:35:09Z"}