A smoker's choice? Identifying the most autonomy-supportive message frame in an online computer-tailored smoking cessation intervention

Psychol Health. 2021 May;36(5):549-574. doi: 10.1080/08870446.2020.1802457. Epub 2020 Sep 4.

Abstract

Objective: To test the effect of autonomy-supportive message framing on people's perceived autonomy-support while considering the individual need for autonomy as a moderator. Also, to test whether autonomy-supportive message frames - through increased perceived autonomy-support - lead to more self-determined motivation, and increased intention to quit smoking.

Design: An online 2(autonomy-supportive; controlling language) × 2(choice; no choice) between-subjects design with control condition (generic advice) with adult smokers intending to quit (N = 626).

Main outcome: Intention to quit smoking (Theory of Planned Behaviour).

Measures: Perceived autonomy-support (Virtual Climate Care Questionnaire), need for autonomy (Health Causality Orientations Scale), self-determined motivation (Treatment Self-Regulation Questionnaire), attitudes, social influence, self-efficacy (I-Change Model).

Results: Structural equation modelling revealed no significant effect of autonomy-supportive-message frames on perceived autonomy-support or self-determined motivation, neither did the need for autonomy moderate these effects. Self-determined motivation had a positive, significant effect on intention to quit, mediated by attitudes, social influence, and self-efficacy.

Conclusion: Although message frames did not affect perceived autonomy-support or self-determined motivation, higher self-determined motivation increased intention to quit via attitudes, social influence, and self-efficacy. Before drawing the conclusion that message framing has no effect, we recommend to replicate this study in a real-life setting with smokers more likely to read and process the message frames more attentively.

Keywords: Web-based computer-tailoring; autonomy-support; message framing; need for autonomy; smoking cessation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Choice Behavior
  • Health Communication* / methods
  • Humans
  • Internet-Based Intervention*
  • Motivation
  • Personal Autonomy*
  • Smokers* / psychology
  • Smokers* / statistics & numerical data
  • Smoking Cessation* / methods
  • Smoking Cessation* / psychology