ArticleBMC public health2022
Protection motivation theory and smoking quitting intention: findings based on structural equation modelling and mediation analysis.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Efficacy of personalised text message intervention in reducing smoking frequency and amount for non-abstinent smokers: A double-blind, randomised controlled trial.Journal of global health · 2023Trial
- A Personalized Mobile Cessation Intervention to Promote Smokers From the Preparation Stage to the Action Stage: Double-blind Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Assessment of a Text Message-Based Smoking Cessation Intervention for Adult Smokers in China: A Randomized Clinical Trial.JAMA network open · 2023Trial
- [Cessation intention and behavior of e-cigarettes and associated factors among 18-44 Chinese adults: Based on protection motivation theory].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Tourists' intention to adopt forest conservation behavior in the Zagros region of Iran.Scientific reports · 2026Article
- An agent-based exploration of the influence of needs on health protection motivation and intentions.Frontiers in psychology · 2026Article
- Effectiveness of a lymphedema prevention program for patients with breast cancer: A randomized controlled trial based on the Protection Motivation Theory and Information-Motivation-Behavioral Skills Model.Asia-Pacific journal of oncology nursing · 2025Article
- Associations between parental protective motivation, behaviors, and child outcomes in allergic diseases: a cross-sectional study based on protection motivation theory.BMC public health · 2025Article
- Nicotine, tobacco smoking, and pain in orthopedic trauma settings: a conceptual framework for practice and research.Archives of orthopaedic and trauma surgery · 2025Review
- Predicting dietary management intention of patients with chronic kidney disease using protection motivation theory.PloS one · 2025Article
- An intervention study on the secondary prevention medication adherence of ischemic stroke patients based on the protection motivation theory combined with medication literacy education in the AI-HEALS: a randomized controlled trial protocol.Frontiers in public health · 2025Article
- A protection motivation theory-based scale for e-cigarette use assessment among Chinese college students: Development and validation.Tobacco induced diseases · 2025Article
- Strengthening the cognition of university students to refuse e-cigarette use: A pilot randomized controlled trial of a peer-to-peer intervention.Tobacco induced diseases · 2025Article
- Identifying factors improving the intention to use antibiotics appropriately in children and adults using protection motivation theory.PEC innovation · 2024Article
- Article
- Validity and reliability of the Malay language Perception Towards Smoking Questionnaire (BM-PTSQ) among secondary school adolescents: Further validation using Confirmatory Factor Analysis.Tobacco induced diseases · 2024Article
- Serial multiple mediation of perceived professional healthcare support and social structural factors in the relationship between care-seeking behavior and perinatal mental health in Chinese mothers.BMC public health · 2023Article
- How do self-exempt beliefs affect intentions to quit smoking? An exploration of the mediating role of threat appraisal and coping appraisal.Frontiers in psychology · 2023Article
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Authors and funding
5 authors.
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Abstract
objectiveAlthough many smoking cessation strategies have been implemented, only a few strategies at the population level are grounded in theory. Even in those interventions based on specific theories, most studies have focused only on the outcome. The main objective of this study was to demonstrate the utility of protection motivation theory (PMT) in explaining smoking quitting behaviour among adults, with the goal of providing valuable evidence for further intervention strategies.
methodThis was a cross-sectional study. Participants were randomly selected on the street from 26 provinces in mainland China. Data were collected via face-to-face interviews. Cronbach's alpha coefficient and the interclass correlation coefficient (ICC) were used to assess the reliability of the individual PMT constructs. We applied structural equation modelling (SEM) to test how well the PMT constructs predicted intention. A bootstrap test was performed to test the potential mediators.
resultsThe Cronbach's alpha coefficients of all the subscales ranged from 0.71 to 0.74. Greater intentions were significantly associated with higher threat appraisal (Coef. = 0.18, P < 0.01) and coping appraisal (Coef. = 0.24, P < 0.01). Threat appraisal was significantly associated with higher perceived severity and vulnerability but inversely associated with extrinsic rewards and intrinsic rewards. Coping appraisal was significantly associated with higher self-efficacy and response efficacy but inversely associated with response cost. The R
conclusionThis study finds that PMT is a sound theoretical framework for predicting smoking quitting intention among adults. Coping appraisal has a stronger effect than threat appraisal for predicting quitting intention. Mediation analyses confirmed that extrinsic rewards and response efficacy mediated the relationship between PMT constructs and quitting intention. Our findings are essential for understanding quitting behaviour among adults and support more effective smoking cessation activities.
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