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Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey

Author

Listed:
  • Manoj Sharma

    (Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA)

  • Kavita Batra

    (Department of Medical Education, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV 89102, USA
    Office of Research, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV 89102, USA)

  • Ravi Batra

    (Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
    Department of Information Technology, Coforge Ltd., Atlanta, GA 30338, USA)

  • Chia-Liang Dai

    (Department of Teaching and Learning, College of Education, University of Nevada, Las Vegas, NV 89154, USA)

  • Traci Hayes

    (College of Nursing, School of Health Professions, University of Southern Mississippi, Hattiesburg, MS 39406, USA)

  • Melinda J. Ickes

    (Department of Kinesiology and Health Promotion, College of Education, University of Kentucky, Lexington, KY 40509, USA)

  • Tejinder Pal Singh

    (Department of Family and Preventive Medicine, Division of Public Health, School of Medicine, University of Utah, Salt Lake City, UT 84108, USA)

Abstract

Purpose: Given the increased exposure to e-cigarettes and nicotine among young adults, difficulty in quitting vaping is likely, which supports the need for effective behavioral interventions. Therefore, this cross-sectional study aims to assess the testability of the contemporary multi-theory model of health behavior change in predicting the vaping quitting behavior among young adults in the United States. Methods: A nationally representative sample of 619 young adults engaged in vaping behavior and aged 18–24 years was recruited to complete a 49-item web-based survey. A structural equation model was used to test relationships between MTM constructs. Hierarchical multiple regression was utilized to predict the variance in the initiation and sustenance of vaping quitting behavior by predictor variables, such as demographic characteristics, history of behaviors, and MTM constructs. Results: Of 619 respondents, over 75% were White and nearly 70% had educational attainment equal to high school or some college. In total, 62% of respondents were using nicotine, followed by 33.3% were using cannabis. About 80% of the respondents reported being engaged in drinking alcohol, and nearly 45% were engaged in cigarette smoking. The predictive effect of all MTM constructs on vaping quitting initiation (adjusted R 2 = 0.417, F (23, 595) = 20.215, p < 0.001) and sustenance (adjusted R 2 = 0.366, F (23, 595) = 16.533, p < 0.001) was statistically significant. Conclusions: The findings of this study point to the usability and applicability of MTM in operationalizing and developing vaping quitting behavior interventions targeting young adults.

Suggested Citation

  • Manoj Sharma & Kavita Batra & Ravi Batra & Chia-Liang Dai & Traci Hayes & Melinda J. Ickes & Tejinder Pal Singh, 2022. "Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12139-:d:924776
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    References listed on IDEAS

    as
    1. Manoj Sharma & Erin Largo-Wight & Amar Kanekar & Hana Kusumoto & Stephanie Hooper & Vinayak K. Nahar, 2020. "Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    2. Vinayak K. Nahar & Julia K. Wells & Robert E. Davis & Elizabeth C. Johnson & Jason W. Johnson & Manoj Sharma, 2020. "Factors Associated with Initiation and Sustenance of Stress Management Behaviors in Veterinary Students: Testing of Multi-Theory Model (MTM)," IJERPH, MDPI, vol. 17(2), pages 1-10, January.
    3. Kimberly G. Wagoner & Jessica L. King & Amir Alexander & Hollie L. Tripp & Erin L. Sutfin, 2021. "Adolescent Use and Perceptions of JUUL and Other Pod-Style e-Cigarettes: A Qualitative Study to Inform Prevention," IJERPH, MDPI, vol. 18(9), pages 1-12, May.
    4. Manoj Sharma & Robert E. Davis & Amanda H. Wilkerson, 2021. "COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
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    Cited by:

    1. Manoj Sharma & Kavita Batra & Ching-Chen Chen & Chia-Liang Dai & Ravi Batra & David P. Cappelli, 2022. "Predicting Flossing through the Application of the Multi-Theory Model (MTM) of Health Behavior Change among Minority Adolescents in the United States," IJERPH, MDPI, vol. 19(22), pages 1-19, November.

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