{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:46:18Z","timestamp":1783298778224,"version":"3.54.6"},"reference-count":39,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute of Health","award":["R01 CA158361"],"award-info":[{"award-number":["R01 CA158361"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Previous studies have shown that greater self-efficacy (SE) to modify smoking behaviors during treatment improves long-term post-treatment outcomes. Little is known about factors that might enhance SE for smoking abstinence and for reducing children\u2019s tobacco smoke exposure (TSE). The present study investigated hypothesized predictors of end-of-treatment SE to abstain from smoking and to protect children from TSE by conducting secondary multiple regression analyses of data (N = 327) from the Kids Safe and Smokefree (KiSS) behavioral intervention trial. KiSS aimed to reduce parental smoking and child TSE in urban, low-income, and minority communities. The results showed that partner support and initiating a planned quit attempt during treatment were positively related to SE to abstain from smoking and to reduce children\u2019s TSE (all p\u2019s &lt; 0.001) at the end of treatment (EOT). Further, lower baseline nicotine dependence and the use of nicotine replacement were related to higher SE to abstain from smoking at EOT (p &lt; 0.01), whereas more restrictive residential smoking rules and lower children\u2019s TSE at baseline was associated with higher SE to reduce children\u2019s TSE at EOT (all p\u2019s &lt; 0.05). These findings inform theory and future intervention design, identifying individual and social-environmental factors that might enhance smoking-behavior-change SE.<\/jats:p>","DOI":"10.3390\/ijerph192013573","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T22:49:46Z","timestamp":1666306186000},"page":"13573","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Antecedents of Self-Efficacy to Achieve Smoking-Behavior-Change Goals among Low-Income Parents Enrolled in an Evidence-Based Tobacco Intervention"],"prefix":"10.3390","volume":"19","author":[{"given":"Mona L.","family":"Baishya","sequence":"first","affiliation":[{"name":"Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3703-9630","authenticated-orcid":false,"given":"Bradley N.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7370-6280","authenticated-orcid":false,"given":"Stephen J.","family":"Lepore","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Muraro, A.P., Gon\u00e7alves-Silva, R.M.V., Moreira, N.F., Ferreira, M.G., Nunes-Freitas, A.L., Abreu-Villa\u00e7a, Y., and Sichieri, R. (2014). Effect of tobacco smoke exposure during pregnancy and preschool age on growth from birth to adolescence: A cohort study. BMC Pediatr., 14.","DOI":"10.1186\/1471-2431-14-99"},{"key":"ref_2","unstructured":"Fiore, M.C., Ja\u00e9n, C.R., Baker, T.B., Bailey, W.C., Benowitz, N.L., Curry, S.J., Dorfman, S.F., Froelicher, E.S., Goldstein, M.G., and Healton, C.G. (2008). Treating Tobacco Use and Dependence: 2008 Update."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1016\/j.addbeh.2012.09.016","article-title":"Targeting cessation: Understanding barriers and motivations to quitting among urban adult daily tobacco smokers","volume":"38","author":"Rosenthal","year":"2013","journal-title":"Addict. Behav."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1111\/add.15792","article-title":"Tobacco use during pregnancy","volume":"117","author":"Havard","year":"2022","journal-title":"Addiction"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1136\/thoraxjnl-2021-217041","article-title":"Secondhand nicotine vaping at home and respiratory symptoms in young adults","volume":"77","author":"Islam","year":"2022","journal-title":"Thorax"},{"key":"ref_6","first-page":"103","article-title":"Vital Signs: Disparities in Nonsmokers\u2019 Exposure to Secondhand Smoke\u2014United States, 1999\u20132012","volume":"64","author":"Homa","year":"2015","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1093\/ntr\/ntw007","article-title":"Social Disparities in Unaided Quit Attempts Among Daily Current and Former Smokers: Results From the 2010\u20132011 Tobacco Use Supplement to the Current Population Survey","volume":"18","author":"McCarthy","year":"2016","journal-title":"Nicotine Tob. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.ypmed.2019.03.028","article-title":"Tobacco smoke exposure disparities persist in U.S. children: NHANES 1999\u20132014","volume":"123","author":"Merianos","year":"2019","journal-title":"Prev. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.15585\/mmwr.mm6552a1","article-title":"Quitting Smoking Among Adults\u2014United States, 2000\u20132015","volume":"65","author":"Babb","year":"2017","journal-title":"MMWR. Morb. Mortal. Wkly. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"274056","DOI":"10.1155\/2015\/274056","article-title":"Smoking Cessation and Socioeconomic Status: An Update of Existing Evidence from a National Evaluation of English Stop Smoking Services","volume":"2015","author":"Hiscock","year":"2015","journal-title":"BioMed Res. Int."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","article-title":"Self-efficacy: Toward a unifying theory of behavioral change","volume":"84","author":"Bandura","year":"1977","journal-title":"Psychol. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1037\/a0025482","article-title":"Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behavior change?","volume":"20","author":"Perkins","year":"2012","journal-title":"Exp. Clin. Psychopharmacol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S75","DOI":"10.1542\/peds.2017-1026K","article-title":"An Office-Initiated Multilevel Intervention for Tobacco Smoke Exposure: A Randomized Trial","volume":"141","author":"Collins","year":"2018","journal-title":"Pediatrics"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Lepore, S.J., Collins, B.N., Coffman, D.L., Winickoff, J.P., Nair, U.S., Moughan, B., Bryant-Stephens, T., Taylor, D., Fleece, D., and Godfrey, M. (2018). Kids Safe and Smokefree (KiSS) Multilevel Intervention to Reduce Child Tobacco Smoke Exposure: Long-Term Results of a Randomized Controlled Trial. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15061239"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1981","DOI":"10.1093\/ntr\/ntz175","article-title":"Parents\u2019 Self-efficacy for Tobacco Exposure Protection and Smoking Abstinence Mediate Treatment Effects on Child Cotinine at 12-Month Follow-up: Mediation Results from the Kids Safe and Smokefree Trial","volume":"22","author":"Collins","year":"2020","journal-title":"Nicotine Tob. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"107496","DOI":"10.1016\/j.drugalcdep.2019.05.027","article-title":"Self-efficacy as a pathway to long-term smoking cessation among low-income parents in the multilevel Kids Safe and Smokefree intervention","volume":"204","author":"Lepore","year":"2019","journal-title":"Drug Alcohol Depend."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/0306-4603(86)90034-1","article-title":"Relapse prevention and smoking cessation","volume":"11","author":"Davis","year":"1986","journal-title":"Addict. Behav."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.addbeh.2010.08.024","article-title":"Increased self-efficacy to quit and perceived control over withdrawal symptoms predict smoking cessation following nicotine dependence treatment","volume":"36","author":"Schnoll","year":"2011","journal-title":"Addict. Behav."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.drugalcdep.2009.12.021","article-title":"Mechanisms of change in extended cognitive behavioral treatment for tobacco dependence","volume":"109","author":"Hendricks","year":"2010","journal-title":"Drug Alcohol Depend."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1111\/j.1360-0443.2010.03089.x","article-title":"A multi-level analysis of non-significant counseling effects in a randomized smoking cessation trial","volume":"105","author":"McCarthy","year":"2010","journal-title":"Addiction"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.drugalcdep.2016.11.027","article-title":"Toward precision smoking cessation treatment II: Proximal effects of smoking cessation intervention components on putative mechanisms of action","volume":"171","author":"Piper","year":"2017","journal-title":"Drug Alcohol Depend."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.drugalcdep.2014.06.033","article-title":"Self-efficacy and acceptance of cravings to smoke underlie the effectiveness of quitline counseling for smoking cessation","volume":"142","author":"Schuck","year":"2014","journal-title":"Drug Alcohol Depend."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1037\/0278-6133.26.1.77","article-title":"How does coping help people resist lapses during smoking cessation?","volume":"26","author":"Hosein","year":"2007","journal-title":"Health Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.addbeh.2009.09.016","article-title":"Correlates of smoking cessation self-efficacy in a community sample of smokers","volume":"35","author":"Martinez","year":"2010","journal-title":"Addict. Behav."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1093\/ntr\/ntq077","article-title":"Social support in smoking cessation: Reconciling theory and evidence","volume":"12","author":"Westmaas","year":"2010","journal-title":"Nicotine Tob. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0306-4603(98)00125-7","article-title":"Depression and smoking cessation: The role of motivation and self-efficacy","volume":"25","author":"Haukkala","year":"2000","journal-title":"Addict. Behav."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1111\/jcom.12054","article-title":"Participating in Health Issue-Specific Social Networking Sites to Quit Smoking: How Does Online Social Interconnectedness Influence Smoking Cessation Self-Efficacy?","volume":"63","author":"Phua","year":"2013","journal-title":"J. Commun."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1111\/j.1360-0443.2005.01093.x","article-title":"Randomized controlled trial of a web-based computer-tailored smoking cessation program as a supplement to nicotine patch therapy","volume":"100","author":"Strecher","year":"2005","journal-title":"Addiction"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Lepore, S.J., Winickoff, J.P., Moughan, B., Bryant-Stephens, T.C., Taylor, D.R., Fleece, D., Davey, A., Nair, U.S., Godfrey, M., and Collins, B.N. (2013). Kids Safe and Smokefree (KiSS): A randomized controlled trial of a multilevel intervention to reduce secondhand tobacco smoke exposure in children. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-792"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/BF01172525","article-title":"Self-efficacy and smoking cessation maintenance: A preliminary report","volume":"5","author":"DiClemente","year":"1981","journal-title":"Cogn. Ther. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0749-3797(18)30622-6","article-title":"Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D","volume":"10","author":"Andresen","year":"1994","journal-title":"Am. J. Prev. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1093\/ntr\/nts018","article-title":"The Fagerstrom Test for Nicotine Dependence as a Predictor of Smoking Abstinence: A Pooled Analysis of Varenicline Clinical Trial Data","volume":"14","author":"Russ","year":"2012","journal-title":"Nicotine Tob. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1111\/j.1360-0443.1991.tb01879.x","article-title":"The Fagerstr\u00f6m Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire","volume":"86","author":"Heatherton","year":"1991","journal-title":"Br. J. Addict."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1037\/0022-006X.58.3.304","article-title":"Partner behaviors that support quitting smoking","volume":"58","author":"Cohen","year":"1990","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_35","unstructured":"Yuan, Y.C. (2010). Multiple Imputation for Missing Data: Concepts and New Development (Version 9.0), SAS Institute Inc."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health Promotion by Social Cognitive Means","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ. Behav."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1046\/j.1360-0443.95.8s2.4.x","article-title":"Cognitive social learning and related perspectives on drug craving","volume":"95","author":"Niaura","year":"2000","journal-title":"Addiction"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1037\/0021-843X.97.2.133","article-title":"Relevance of cue reactivity to understanding alcohol and smoking relapse","volume":"97","author":"Niaura","year":"1988","journal-title":"J. Abnorm. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.jadohealth.2010.06.016","article-title":"Sensitivity to Secondhand Smoke Exposure Predicts Smoking Susceptibility in 8\u201313-Year-Old Never Smokers","volume":"48","author":"Wahlgren","year":"2011","journal-title":"J. Adolesc. Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13573\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:57:45Z","timestamp":1760144265000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,20]]},"references-count":39,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph192013573"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192013573","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,20]]}}}