Adherence across behavioral domains in treatment promoting smoking cessation plus weight control

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Adult; Aged; Feeding Behavior; Female; *Health Promotion; Humans; Middle Aged; Motor Activity; *Patient Compliance; Smoking; Smoking Cessation; *Weight Loss


Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine


The authors tested whether adherence to simultaneous health behavior changes was unitary or domain specific among 76 women who modified smoking, eating, and physical activity to accomplish smoking cessation plus weight control. Random-effects regression analyses showed that adherence to both smoking and diet plans declined linearly and covaried positively; their association tended to grow stronger over time. In contrast, physical activity plan adherence did not change over time and was unrelated to other domains. At the end of treatment, 65%, 30.5%, and 25% adhered well or excellently to smoking, diet, and activity treatments, respectively. Findings support both unitary and domain-specific aspects of adherence and suggest that among smokers, smoking and eating behaviors may have similarities unshared by physical activity.

DOI of Published Version



Health Psychol. 2005 Mar;24(2):153-60. Link to article on publisher's site

Journal/Book/Conference Title

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

Related Resources

Link to Article in PubMed

PubMed ID