Evidence map›Paper›PMID 41847217›Full record

ArticleHealth psychology and behavioral medicine2026

Unpacking willpower in unassisted smoking cessation: a qualitative analysis reveals a systematic profile of situational and cognitive strategies.

Effie Marathia, Sheila Duffy, Abigail Stephen, Kimberly R More, Blair Saunders

Abstract read
In one paragraph

Article in Health psychology and behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Effie MarathiaDivision of Psychology, School of Humanities, Social Sciences, and Law, University of Dundee, Dundee, United Kingdom.ORCID https://orcid.org/0000-0003-4476-9113
Sheila DuffyAction on Smoking and Health (ASH) Scotland, Edinburgh, United Kingdom.
Abigail StephenThe Rowett Institute, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, United Kingdom.ORCID https://orcid.org/0000-0002-6742-7901
Kimberly R MoreSchool of Psychology and Neuroscience, University of St Andrews, St Andrews, United Kingdom.ORCID https://orcid.org/0000-0003-4122-7191
Blair SaundersDivision of Psychology, School of Humanities, Social Sciences, and Law, University of Dundee, Dundee, United Kingdom.ORCID https://orcid.org/0000-0001-7102-2678

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over half of those who quit smoking do so without formal assistance, yet the psychological processes supporting unassisted cessation remain little understood. Success is often attributed to willpower, an umbrella term that lacks explanatory precision and obscures the underlying tractable processes. Drawing on the Process Model of Self-Regulation and the Behavior Change Technique (BCT) Taxonomy, this study aimed to identify the concrete strategies that enable individuals to quit smoking unassisted, thereby clarifying what willpower might look like in practice. Materials and methods: Thirty-two participants who had successfully quit smoking without formal support participated in semi-structured interviews. Inductive content analysis identified key challenges, while deductive coding mapped strategies addressing these challenges to the Process Model of Self-Regulation and the BCT Taxonomy. Results: Participants' accounts reflected a diverse range of strategies, averaging seven distinct BCTs, spanning the Situation Selection and Modification, Attention Redeployment, and Cognitive Change stages from the Process Model. Common BCTs included avoiding environmental triggers, substituting smoking with alternative behaviors, and seeking social support. In contrast, Response Modulation (e.g. 'just say no') accounted for only 1% of the data. Conclusion: Unassisted quitters drew from a sophisticated repertoire of strategies that are actionable, teachable, and embedded within the individual's physical and social environment. The qualitative methodology used in this study offers an understanding of the lived experiences of self-quitters, potentially informing public health interventions that integrate individual and system-level approaches to behavior change that extend beyond brute-force willpower.

Indexed as

behavior change techniquespublic health policyself-regulation strategiesUnassisted smoking cessation

Identifiers

PMID41847217
PMCPMC12990265

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.