Table 2

Revised informed choice framework; after Chapman and Liberman (2005)

Modified informed choice framework
Active and unimpaired decision-making process required for informed choice
  • 1. Active, conscious decision-making about whether to smoke, with consideration of long-term and immediate risks and benefits

  • 2. Decision is not made while cognitively impaired or under undue pressure

Knowledge and understanding required to demonstrate informed choice
  • 3. Decision maker demonstrates adequate awareness and understanding of the following facets:

    • i. Awareness that smoking increases health risks and is addictive

    • ii. Awareness of the range of specific diseases caused by smoking

    • iii. Appreciation of the meaning, severity, and probabilities of developing tobacco-related diseases and the benefits of quitting smoking

    • iv. Understanding of the addictiveness of smoking, likelihood of continued smoking and probability of quit success and relapse

    • v. Acceptance that the health and addiction risks outlined in i–iv apply personally

Environmental factors promoting informed choices
  • 4. Absence of social and environmental influences facilitating smoking uptake will increase the likelihood that smoking follows an informed choice