Purpose: This study explored (a) motivators, facilitators, and barriers to achieving successful tobacco cessation in older adults, and (b) motivators, facilitators, and barriers to maintaining prolonged tobacco cessation in older adults.
Background: Approximately 19.5% of older adults aged 50 years and older and 8.9% of older adults, aged 65 years and older, use some form of tobacco product. Tobacco cessation is considered the single most important factor to improve the health of older adults who use tobacco. However, minimal research has focused on the process of tobacco cessation or factors influencing this process.
Methods: Snowball sampling was used in this phenomenological study to recruit 20 adults aged 50 years and older at the time of tobacco cessation. Semi-structured audio-recorded interviews were conducted after the completion of a demographic questionnaire. Interviews were transcribed verbatim and analyzed using content analysis and constant comparison techniques. Descriptive statistics were used to examine the demographic data.
Results: Of the 20 participants interviewed 11 were males and nine females with 18 Caucasian and two African American. At the time of the interview, participants ranged in age from 54 to 84 years, with an average of 71.5 years while the actual age at the time of tobacco cessation ranged from 50 to 69 years, with an average of 60.5 years. Four global themes emerged from the analysis: (a) motivators, (b) facilitators, (c) barriers, and (d) life after tobacco. These older adults attributed self-motivation, personal commitment, support from others, and establishing a replacement for tobacco as essential components for cessation. Information gained from the sample can be used to develop tobacco cessation interventions to assist older patients who desire to quit.
|Advisor:||Barone, Claudia P.|
|Commitee:||Anders, Michael, Jones, Tammy, McSweeney, Jean C., Middaugh, Donna J.|
|School:||University of Arkansas for Medical Sciences|
|School Location:||United States -- Arkansas|
|Source:||DAI-B 76/01(E), Dissertation Abstracts International|
|Subjects:||Aging, Health sciences, Nursing|
|Keywords:||Older adults, Phenomenology, Qualitative research, Tobacco cessation, Tobacco use, Transtheoretical model of behavior change|
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