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Strengthening Your Self-Efficacy for Quitting Tobacco

MollyLeis
Mayo Clinic
7 23 998

Strengthening your Self-Efficacy for Quitting Tobacco  Mayo Clinic Event Series (1).png

Self-efficacy means belief or confidence in being able to perform or succeed at a certain task. One way of thinking about self-efficacy is, if you think you can do something, you will most likely succeed; if you don’t think you can do something, you will most likely fail. 

When facing a challenge, such as engaging in an activity you have never done, trying to lose weight, or even quitting tobacco, do you doubt your ability to be successful? Or, do you keep going, despite failures, saying “I can do this, and I will do this”? 

Is self-efficacy the same as self-confidence? The two terms are related, but there are some important distinctions. Self-confidence is more general and refers to a person's overall belief in themselves in all contexts. Self-efficacy, on the other hand, is more specific and context-dependent. A person can have high self-efficacy in one area (such as academics) and low self-efficacy in other areas (such as sports). 

Albert Bandura, a well-known psychologist, developed social cognitive theory, of which self-efficacy is a big part. The theory postulates that our attitudes, abilities, and cognitive skills are all essential in determining how we perceive and respond to situations. When thinking about a goal you would like to achieve, or a behavior change you would like to make, putting those goals into action can sometimes be challenging. 

If a person has high self-efficacy, they tend to have a deep commitment to their goals, view challenges as something to be mastered, and recover more quickly from setbacks. If a person has a weaker self-efficacy, they tend to avoid the task, believe it is beyond their capability, or focus more on personal failings and negative outcomes.

So, how do you build self-efficacy to quit tobacco use?

  • Give credit to your past and present successes.

Give yourself small rewards for doing well. It doesn’t matter if you stayed quit for 5 hours, 5 days, or 5 months.  Give yourself credit! You put in the effort, and you were able to succeed for a while. This is critical in developing a strong sense of belief in yourself.  Self-affirmations are very important.

 

 

  • Set specific practical goals.

Studies have shown that when people make general goals such as, “I will quit smoking in 2024”, with no specific plan for accomplishing that, their likelihood of being able to succeed is much lower. When you set specific goals such as, “I will use nicotine gum every time I get a craving,” or “I will take a 10-minute walk when I have a craving “. These are much more specific, and you are more likely to be successful.

 

 

  • Observe other people modeling effort and success. 

Watch people who are staying quit from tobacco. What are they doing to be successful? Pick people whom you see as having similar interests, activities, or do similar work. It can help with finding those similarities to model for yourself. If you don’t know anyone personally who is quitting or recently quit, you can also try reading about what others on the Ex-Community are doing to stay quit.  

  • Request helpful feedback from others.

When someone tells you that you are doing a good job, it is very encouraging.  Sometimes when you ask for feedback from people who have a more negative or critical view, it can be very discouraging. For example, someone who genuinely wants to be supportive may say, “Well, I just quit and didn’t let myself smoke.”  Obviously, this is not going to be helpful if you are struggling. If family and friends want to be helpful, tell them specifically what feedback is supportive and what would be more discouraging to you. 

 

  • Pay attention to the signals your body and brain give when stressed. 

Our confidence level or sense of our capabilities can become skewed when we are anxious or under pressure. If the thought of quitting smoking brings worry, fear, or anxious energy, there are things you can do to calm those thoughts down. Techniques such as taking deep breaths, keeping your thoughts in the present, and maintaining a healthy perspective on things can be helpful here. Anxious thoughts can stem from the fear of the unknown and can only serve to just keep that whole “what if” vicious cycle going. 

What do you think will help increase your self-efficacy in quitting?

 

23 Comments
maryfreecig
Member

Great topic. Comprehensive check list, too!!! Thank you. I've got to comeback and reread carefully. Along with the stress, it would seem important to check health also-- regarding sleep, good nutrition, annual physical, exercise, etc. 

Barbscloud
Member

@MollyLeis As always, a great post.   "if you think you can do something, you will most likely succeed".   I know this relates well to quitting smoking, but doesn't there need to be a touch of realism also.   I know there are things, for example, that we're not capable of doing either because of age, physical restrictions, abilities, environment, medical or psychological conditions,  etc. 

As an example, if you've read some recent posts, some of us are not able to lose weight anymore since quitting smoking because of metabolism, new thyroid issues, whatever the unknown medical reason, etc.   Even though we want to believe we can, it doesn't work anymore. 

 I'd like to believe I could  be rock star, but I can't sing.  😊

Your thoughts.

Barb

MollyLeis
Mayo Clinic

@Barbscloud thanks for the feedback!  You are correct, we probably can't do EVERYTHING. LOL.   We do have limitations in certain areas.  Self-efficacy is more about attitude than ability.  And as it says above, we might have high self-efficacy in our ability to do some things, and low efficacy in others, for good reason!  But, for the purpose of changing a behavior, we do have capability of changing what we can control, accepting what we cannot, and then we hope we have the wisdom to know the difference, or at least seek out advice from trusted people to advise us.   Hope that clarifies, and for the record, I wish I could be a rock star too!  But, alas, my purpose in life did not align with that career.  😁  

Molly          

20473138
Member

@MollyLeis This is all good information as we are all struggling through this process to stay positive and supportive of one another. Good luck to everyone and just know we can do this.  

Dahlgrjj
Member

Thank you for your comments!  I feel inspired to continue to quit smoking since Devember 27 when I read your comments.  Quitting is difficult, but reading what others have to say and seeing / hearing how difficult the process is gives me more incentive to concentrate in my goals of living a healthier, less expensive, and more socially pleasing lifestyle.

20473138
Member

I am committed to stay quit free even though it gets hard sometimes with life challenges. I continue to use the tools provided and the community support is always helpful. I hope to inspire someone I have have been since being in this group. Good luck everyone. 

   

st3v49ersixth56

interesting topic


@MollyLeis wrote:

Strengthening your Self-Efficacy for Quitting Tobacco  Mayo Clinic Event Series (1).png

Self-efficacy means belief or confidence in being able to perform or succeed at a certain task. One way of thinking about self-efficacy is, if you think you can do something, you will most likely succeed; if you don’t think you can do something, you will most likely fail. 

When facing a challenge, such as engaging in an activity you have never done, trying to lose weight, or even quitting tobacco, do you doubt your ability to be successful? Or, do you keep going, despite failures, saying “I can do this, and I will do this”? 

Is self-efficacy the same as self-confidence? The two terms are related, but there are some important distinctions. Self-confidence is more general and refers to a person's overall belief in themselves in all contexts. Self-efficacy, on the other hand, is more specific and context-dependent. A person can have high self-efficacy in one area (such as academics) and low self-efficacy in other areas (such as sports). 

Albert Bandura, a well-known psychologist, developed social cognitive theory, of which self-efficacy is a big part. The theory postulates that our attitudes, abilities, and cognitive skills are all essential in determining how we perceive and respond to situations. When thinking about a goal you would like to achieve, or a behavior change you would like to make, putting those goals into action can sometimes be challenging. 

If a person has high self-efficacy, they tend to have a deep commitment to their goals, view challenges as something to be mastered, and recover more quickly from setbacks. If a person has a weaker self-efficacy, they tend to avoid the task, believe it is beyond their capability, or focus more on personal failings and negative outcomes.

So, how do you build self-efficacy to quit tobacco use?

  • Give credit to your past and present successes.

Give yourself small rewards for doing well. It doesn’t matter if you stayed quit for 5 hours, 5 days, or 5 months.  Give yourself credit! You put in the effort, and you were able to succeed for a while. This is critical in developing a strong sense of belief in yourself.  Self-affirmations are very important.

 

 

  • Set specific practical goals.

Studies have shown that when people make general goals such as, “I will quit smoking in 2024”, with no specific plan for accomplishing that, their likelihood of being able to succeed is much lower. When you set specific goals such as, “I will use nicotine gum every time I get a craving,” or “I will take a 10-minute walk when I have a craving “. These are much more specific, and you are more likely to be successful.

 

 

  • Observe other people modeling effort and success. 

Watch people who are staying quit from tobacco. What are they doing to be successful? Pick people whom you see as having similar interests, activities, or do similar work. It can help with finding those similarities to model for yourself. If you don’t know anyone personally who is quitting or recently quit, you can also try reading about what others on the Ex-Community are doing to stay quit.  

  • Request helpful feedback from others.

When someone tells you that you are doing a good job, it is very encouraging.  Sometimes when you ask for feedback from people who have a more negative or critical view, it can be very discouraging. For example, someone who genuinely wants to be supportive may say, “Well, I just quit and didn’t let myself smoke.”  Obviously, this is not going to be helpful if you are struggling. If family and friends want to be helpful, tell them specifically what feedback is supportive and what would be more discouraging to you. 

 

  • Pay attention to the signals your body and brain give when stressed. 

Our confidence level or sense of our capabilities can become skewed when we are anxious or under pressure. If the thought of quitting smoking brings worry, fear, or anxious energy, there are things you can do to calm those thoughts down. Techniques such as taking deep breaths, keeping your thoughts in the present, and maintaining a healthy perspective on things can be helpful here. Anxious thoughts can stem from the fear of the unknown and can only serve to just keep that whole “what if” vicious cycle going. 

What do you think will help increase your self-efficacy in quitting?

 


 

HelpCMS
Member

This is so good. It is important to remember that small accomplishments should be celebrated and acknowledged. I had not thought about the distinction between self-efficacy and self- confidence. These skills are really important all through our live and help with our mental health. Thank you for sharing your knowledge!

BRWQUEEN7
Member

This blog truly gives me more confidence that I can and will quit smoking. Thank you 😊 🙏🏼 

Lucid01
Member

@MollyLeis 

This explains so much to me. In general I tend to be confident, purposeful, and responsible. With smoking I have experienced pitiful and incomprehensible demoralization. Your post explained that to me and gave me practical steps to remedy the problem. 

Thyme
Member

This is great! I had a lot of fear, anxiety, self doubt around quitting because of so many failed quit attempts in the past and the intensity of nicotine withdrawal. But here I am, having made it to 100 days without tobacco. Thank you for the reminder to acknowledge and reward successes, ask for support, and breathe deeply and stay in the present moment (and focus on only the next right step) when life gets too stressful or overwhelming.

Barbscloud
Member

@Thyme 100 days today.  Shout it from roof tops!  I  agree,  this is a great post.  How are you rewarding yourself?  You earned it and you deserve it.

Barbscloud_2-1648312669501.pngBarbscloud_0-1635954555648.gif

Barb

 

MollyLeis
Mayo Clinic

@Thyme   awesome job, 100 days is a huge accomplishment!  One day at a time is so much more doable than thinking too far ahead. Keep it up!

      

Buddhabarks
Member

Nice work!!!

MParsons
Member

I started the patch today. Sometimes they don't stick to me? The edges are already curling up? The longest I quit here was a week here and there. Before that 19 days to be exact. So that's how my day one has started. 

MParsons
Member

I have went fishing and left them home twice went all day without them.

Barbscloud
Member

@MParsons Welcome to the Ex.  I see your quit date is in May.  Did you decide to quit earlier?

I hope you've taken the time to prepare for your quit.  I always went in to them blindly thinking something magical would happen.  That didn't work.  I was lucky to find the Ex a week prior to my quit date.  I had my aids in place, etc. but as usual, no real plan.  For the first time I educated myself about nicotine addiction and learned about tools to use, coping with craving, new association to replace smoking and most importantly, how important support can mean for a successful quit.   This link has some great information to get you started on the right track,

https://www.becomeanex.org/guides/?cid=footer_community_linktobex

Don't give up on the aids, they have made a huge difference for many quitters including myself.   Reinforce your quit by joining many of us on the Daily Pledge to stay on track one day at a time.

Please consider creating your own post on My Journey/Blog to introduce yourself to the community and receive lots of support.

We're here for you, so don't hesitate to reach out for support anytime.

Stay busy and stay close

Barb

Try these instructions for the patch.

Nicotine (Transdermal Route) Proper Use - Mayo Clinic

 

 

MollyLeis
Mayo Clinic

@MParsons nice job.  Glad you are starting. 🙂  yeah, the patches can do that sometimes.  It seems like for some it can be harder to keep them on.  We use Cover-Roll stretch tape or something similar.  It has a backing that you peel off.  It's very thin but stretchy.  People who have a hard time keeping them on say that this makes it, so it doesn't come off, even in shower.     

MParsons
Member

Thank you MollyLeis, I will have to try that suggestion! I only had the patch on for 3/4 of the day it wouldn't stay on. Also I noticed I didn't feel different with it on. But I only had 3-4 cigars this morning. Tomorow is a new day. 

Barbscloud
Member

@MParsons I'm  not sure if you would feel different using  the patch  if you're still smoking.  You're still getting nicotine from the cigars.

You might find this article of interest.

Do You Need to be Ready to Quit Smoking to Use Tob... - EX Community

Keep moving forward with your quit.

Barb

 

 

MParsons
Member

It's a work in progress.  I have to go day by day, I will see if I can use band aids as tape. The patch I put on clean skin was stuck to the inside of my shirt. This has got to be the worst addiction I have ever had.  

Barbscloud
Member

@MParsons I'm sorry you're having such a problem with the patches. I don't think it's going to help much stuck to the inside of your shirt.  😊  I think some quitters have found different brands work better.  Did you try this tape that Molly suggested

 

Barbscloud_2-1713613494503.jpeg

 

 

 

 

MollyLeis
Mayo Clinic

@MParsons Nice job in cutting down!  Many times we find that people are under dosed with patches and medication as well.  You only have so many nicotinic acetylcholine receptors, you know that feeling you get if you smoke too many, like nausea, lightheadedness, etc.  so, if a person can wear a patch and still smoke a few and feel relief or not get nausea, then maybe they are not getting enough nicotine.   We usually dose 1 mg per cigarette per mg of patch.  Cigars can contain more nicotine depending on the brand, thickness, etc. Something to  consider anyway!!  Keep it up!

About the Author
I have a master’s degree in Clinical Counseling from Winona State University and am a Licensed Alcohol & Drug Counselor and Licensed Professional Clinical Counselor in the State of Minnesota. I have had the opportunity to work with children, adolescents, and adults with mental health, behavioral, substance abuse, and developmental issues, in both residential, in-home, and outpatient settings, as well as having specialized training in trauma therapy for children and wellness coaching. I have worked at the Mayo Clinic for approximately 14 years as an emergency room social worker, substance abuse counselor, and currently, as a counselor/tobacco treatment specialist with the Nicotine Dependence Center. I am passionate about ensuring there is adequate incorporation of tobacco treatment with mental health and substance abuse treatment.