AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2688-7517/082
1Department of Health Education and Health Promotion, School of Health Sciences, Tarbiat Modares University, Tehran, Iran.
2Department of Health Education and Health Promotion, School of Health Scineces, Tarbiat Modares University, Tehran, Iran.
3Department of Bio statistical, School of Health Sciences, Tarbiat Modares University, Tehran, Iran.
*Corresponding Author: Anooshiravan Kazem Nezhad, Department of Bio statistical, School of Health Sciences, Tarbiat Modares University, Tehran, Iran.
Citation: Mousa Bashir, Farkhondeh A. Shokravi, Anooshiravan K. Nezhad, (2025), Applying Multi-Theory Model (MTM) in Determining Intentions to Smoking Cessation among male Health Worker Smokers in Kabul, Afghanistan, J. Addiction Research and Adolescent Behaviour, 8(3) DOI:10.31579/2688-7517/082.
Copyright: © 2025, Anooshiravan Kazem Nezhad. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 02 December 2025 | Accepted: 10 December 2025 | Published: 19 December 2025
Keywords: smoking cessation; multi-theory model; initiation; sustenance; health workers
Introduction: Globally, smoking causes lung cancer and a wide range of acute and chronic diseases. A fourth-generation behavioral framework, the multi-theory model (MTM) of health behavior change was used to predict the initiation and maintenance of smoking cessation among health worker smokers.
Methods: By visiting different Health Centers, a convenience sample of male health worker smokers from west part of Kabul city, was invited to participate in this cross-sectional study. A valid and reliable 37-item MTM-based survey instrument was administered to the male participants who smoked. To explain smoking cessation behavior, stepwise multiple regressions were conducted. The entire value of the Cronbach alpha coefficient (α) of the subscales and the scale for the initiation of MTM variables was0.80 and for the sustenance of MTM variables was 0.79.
Results: The study was completed by 170 participants. Participants were averaging 29.33 years of age (SD = 6.21). The average number of years smokers reported (SD = 4.7), was 5.6. Smoking cigarettes was the median (SD = 5.21), with 5.64 cigarettes consumed per day. Changes in the physical environment (+0.2225, P = 0.029) and behavioral confidence (+0.441, P = 0.014) were significant predictors of smoking cessation initiation. The intention to sustain smoking cessation behavior was significantly influenced by emotional transformation (β = 0.222, P = 0.017) and practicing for change (β = 0.217, P = 0.015).
Conclusions: There was moderate variance in smoking cessation behavior among health worker smokers in Kabul's western part explained by two MTM constructs (behavioral confidence, physical environment) for initiation and two MTM constructs (emotional transformation, practicing for change) for maintenance. Smoking cessation behavior can be assessed using MTM both at the initiation and maintenance stages. It is important to develop future interventions using MTM constructs aiming to change smokers' behavior in regard to quitting smoking.
Smoking is one of the leading causes of preventable deaths worldwide [1]. The report of the World Health Organization estimated the prevalence of smoking in men will reach 30% by 2025 [2]. In the Middle East region and neighboring countries, the prevalence of smoking in men aged ≥ 15 years in 2020 is estimated as follows: Pakistan is 35, Iran is 20, and India is 17.8 [2]. World Health Organization reported the prevalence of smoking in Afghan men aged 15 years and older to be 35% in 2017. Also, this organization states that out of the five most common cancers among Afghan men, four cancers (stomach, esophagus, lung, and oral cavity) are attributed to smoking and other forms of tobacco use [3]. Smoking damages almost all the organs of the body, leads to countless diseases, and reduces the level of health in smokers [4]. According to Malaina et al.'s study, coronary heart disease is linked to smoking, health outcomes will be improved by changing this behavior [5]. To change behavior, especially in the process of quitting smoking, health workers can play an essential role because they are both counselors and smoking cessation models for citizens [6]. Training programs are needed for health workers to increase their ability to actively support patients with smoking cessation techniques [7, 8]. Two important results from the studies show that if health workers are not smokers themselves, they are more successful in persuading smokers to quit smoking, as well as smokers who are supported and counseled by healthcare providers, than those who do it themselves have more chances to quit smoking [9]. In addition, studies show a relatively high incidence of smoking among health workers, especially in some countries such as Iraq (26.5 percent) [10]. Also, research has shown that health workers have received little formal training to quit smoking. (7.3 percent) [11]. Also, they had little knowledge about smoking cessation strategies [12]. Meaning that these staffs are not good role models for their patients [13]. It has been shown that public health interventions to promote smoking cessation are effective, but the potential for applying public health intervention across community is limited. There is inadequate predictive power in previous health behavior models used to describe smoking cessation, and long-term behavioral change cannot be evaluated using those models [14]. As a health behavior theory, the multi-theory model employs a fourth- generation framework for simultaneous prediction and modifying health behaviors over a long period of time [15, 16].The MTM is an efficient and effective theory for assessing initiating as well as sustaining the prevention, reduction, and cessation of smoking [14], [17-20]. Moreover, Health behaviors in a wide variety of populations have been explained using the MTM [21-32]. The initiation of behavior model has three constructs: 1. Participatory dialogue (advantages offsetting the disadvantages of the health behavior change), 2. Behavioral confidence (beliefs that one can perform the behavior change), 3. Changes in the physical environment (having resources at one’s disposal for the behavior change) [15, 33] (Figure 1). Constructs can be divided into three types to maintain behavior: 1. emotional transformation (translating feelings into goals for the behavior change), 2. Practice for change (creating a habit of transformation and making it a way of life), 3. Changes in the social environment (obtaining social support to help one maintain the health behavior change) [15, 33] (Figure 2). In Afghanistan there have not been many studies about tobacco, an application of the Multi-Theory Model was the purpose of this study in determining intentions toward smoking cessation among Afghan male health worker smokers.
Figure 1: Presents constructs in the initiation of smoking cessation in the multi-theory model
Figure 2: Presents constructs in the sustenance of smoking cessation in the multi-theory model
A cross-sectional research design was used for this study. The research was conducted in the west of Kabul, Afghanistan, participants in the study were male health worker smokers. Data was collected from April to July 2021. Participants were included if they smoked one or more cigarettes during the past seven days, 20 years of age or older. In this study, convenience sampling was applied. For stepwise multiple regressions, a minimum sample size of 170 participants is required if the alpha is 0.05, the power is 0.90, effect size equal to 0.1, response rate 80, and each model includes three predictors and five covariates suing G power 3.1 software. [34]. In this study, the variables that were independent were the components of the initiation model (participatory dialogue, behavioral confidence, changes in the physical environment) and the components of the sustenance model (emotional transformation, practice for change, and changes in the social environment). In both models, intentions to initiate and sustain smoking cessation behavior changes were dependent variables.
In this study a self-report MTM based questionnaire consisting of 37 items was used as an instrument. A person's smoking status is assessed in the first eight questions of the questionnaire (number of cigarettes smoked per day, years of smoking, current smoking status), as well as demographic characteristics (their educational level, age, income, employment status). Furthermore, the MTM model constructs were assessed using 29 items associated with the two models the initiation model including participatory dialogue, behavioral confidence, changes in the physical environment and sustenance models including emotional transformation, practice for change, and changes in the social environment [14]. The original questionnaire was translated and then re-translated. Smoking cessation: Starting and Maintaining It is important to understand that initiation of smoking cessation includes deciding to quit smoking, while sustenance relates to the achievement of abstinence [35]. In both items, the following ratings were given: not at all likely [0], somewhat likely [1], moderately likely [2], very likely [3], and completely likely [4] [35]. The initiation model is comprised of three constructs that are measured by 19 items. Participatory dialogue, the first item, Provides information on how to quit smoking and its advantages and disadvantages. Smoking cessation benefits are discussed in five questions in advantages (i.e. being healthy, able to save money, getting sick less often, smelling better, & enjoy life more) and disadvantages also have five questions related to difficulties of smoking cessation (i.e., not able to relax as well, not able to socialize as well, miss it, not be able to overcome the urge and loss friends). Following is a list of advantages and disadvantages: Never [1], almost never [2], sometimes [3], fairly often [3], and very often [4]. A possible total score ranged from 0 to 20. According to this hypothesis, higher scores for advantages and lower scores for disadvantages were related to the initiation of smoking cessation or behavior change. By subtracting disadvantages from advantages, the participatory dialogue score was obtained. Its value ranged from -20 to +20 [11, 12]. The second item is behavioral confidence, a five-question assessment is used to determine whether a person is confident about quitting smoking. i.e. ability to quit smoking this week, ability to quit smoking this week and complete all work-related tasks, ability to quit smoking this week and feel relaxed, ability to quit this week without getting anxious, and ability to quit smoking this week without getting withdrawn symptoms. In each item, the responses were rated as follows: Not at all sure [0], slightly sure [1], moderately sure [2], very sure [3], and completely sure [4]. 0 to 20 was the range of possible total scores. Those with a higher score are more likely to initiate smoking cessation [35]. There are three questions regarding the physical environment that contributes to quitting smoking in the third item, which refers to changes in the physical environment, i.e. ability to get rid of all cigarettes from one’s environment this week, the ability not to buy cigarettes this week, and ability to substitute smoking time with something else this week. The response to each item was rated as follows: Not at all sure [0] to completely sure [4]. The possible total score range was 0 to 12. High-scoring individuals are more likely to initiate a smoking cessation program [35]. There were ten items used to assess the constructs of the sustenance model. The first item is emotional transformation, which consists of three questions related to emotions that providing smoking cessation assistance, i.e. the ability to direct one’s emotions/feelings to the goal of being smoke-free every week, the ability to motivate oneself to be smoke-free every week, and ability to overcome self-doubt in accomplishing the goal of being smoke-free. The following grading system was used for each item: From not at all sure [0] to completely sure [4] . In total, 12 possible scores were possible. A higher score indicates a greater likelihood of sustained quitting [35]. The second item is practice for changes, which is broken down into three questions that you can quit smoking with these tips:
i.e. Ability to keep a weekly self-diary to monitor smoking urges, when faced with barriers, be smoke-free every week and change the plan to be smoke-free every week if problems arise. Responses to each item were rated as follows: From not at all sure [0] to completely sure [4]. The range of possible scores is 0 to12. Those with higher scores are more likely to sustain their smoking cessation efforts [35]. As the third item, changes in the social environment, to determine whether family members, friends, and health care providers are likely to support you, three questions must be asked i.e. Ability to get weekly support from a family member to quit smoking, Ability to get assistance from a friend each week, try not to smoke and ability to receive assistance from a health professional to quit smoking every week. Responses to each item were rated as follows: From not at all sure [0] to completely sure [4]. Between 0 and 12 is the possible total score. Higher scores indicate a greater chance of success in quitting smoking [35].
Ethical Aspects
The Research Ethics Committee of Tarbiat Modares University granted ethics approval for this study (IR.MODARES.REC.1399.256). Participants were initially informed of the objectives and all phases of the process were conducted in strict confidentiality. We collected no personal information from participants and the participation was completely voluntary. A written informed consent was obtained and the correct information was requested.
Validity And Reliability
In the present study, a questionnaire created in 2017 by Professor Sharma and colleagues entitled " Quitting smoking by applying a new theory: Change in behavior using multi-theory models " was used. Its validity and reliability have been measured and established [35].
Statistical Analysis
A descriptive analysis was performed on all study variables (Tables 1 and 2). As appropriate, we calculated Spearman's r to evaluate the variables related to demographics (covariates) and dependents variables (Smoking cessation behavior initiation and maintenance). Since there were two dependent variables, in order to determine how predictive MTM constructs are, we conducted two stepwise multiple regression models in two blocks apart from factors influencing demographics (Tables 3 and 4). Each model began with block 1 entering demographic variables in bivariate analysis. Every MTM construct was added to block 2 for each model. A priori, 0.05 was set as the statistical significance level. The IBM SPSS V.25 is sued for analyzing the data.
Participants meeting the inclusion criteria (aged 20 and over and smoked one or more cigarettes during the past seven days) totaled 170 and filled out the questionnaire on paper. Among the participants, the mean age was 29.33 years (SD = 6.21). According to the participants, they smoked for an average of 5.6 years (SD = 4.7), Cigarettes smoked per day averaged 5.64 (SD =5.21). Participants typically had an income between 20000 and 50000 AF and most had a bachelor's degree. Table 1 provides comprehensive demographic information. All MTM constructs are described in Table 2 as well as their descriptive statistics and reliability calculations. Based on a 5-point scale, there was a mean score of 2.19 (SD =1.26) for the intention of initiation. In the initiation model the participatory dialogue had a mean of 4.15 units (SD = 4.96, range = –20 to 20), the behavioral confidence had a mean of 9.10 units (SD = 5.41, range = 0-20), the changes in physical environment had a mean of 6.01(SD = 2.97, range = 0 to 12). Based on a 5- point scale, there was a mean score of 2.08 (SD =1.21) for the intention of sustenance. In the sustenance model, the emotional transformation had a mean of 6.01 (SD =3.06, range = 0-12), the practice for change had a mean of 7.02 (SD =2.80, range = 0-12), the changes in social environment had a mean of 6.62 (SD=3.00, range = 0-12).The first part of the table (model 1) demographic factors were found to be predictive of smoking cessation initiation, age (β = 0.230, P = .011), weekly working hours (β = 0.407, P = .000), and daily smoking (β = –0.300, P = .000) were significant, F = 9.77, P = .0001, R2 = 0.250. The second part of the table (model 2) an increase of 0.135 in R2 was observed after adding the initiation model MTM constructs. A statistically significant result was obtained for the overall model, F = 11.24, P < .0001, R2 = 0.385, adjusted R2 = 0.350. In model 2, smoking cessation initiation behavior was significantly predicted by behavioral confidence (β = 0.241, P = .014) and changes in physical environmental (β = 0.225, P = .029). It states, behavioral confidence (β = 0.241, P = .014) and changes in the physical environment constructs (β = 0.225, P = .029) were significant predictors of initiation for smoking cessation behavior in model 2. A stepwise multiple regression analysis of the sustenance model is presented in Table 4. The first part of the table (model 1) demographic factors were found to be predictive of smoking cessation sustenance, weekly working (hr) (β = - 0.396, P = .000), daily smoking (β = - 0.196, P = .022), P = .0001, R2 = 0.187, adjustment R2 stands at 0.159. A statistically significant increase in the R2 value of 0.142 was observed with the addition of the sustenance model MTM constructs to model 2. A statistically significant result was obtained for the overall model, R2 = .267, the adjusted R2 is 0.292, and P < .0001. A significant predictor of the sustenance of cessation behavior with regard to smoking was the level of emotional transformation (β = 0.222, P = .017) and practice for change (β = 0.217, P = .015).
| Variables | MEAN (SD) | Median (IQR:Q3-Q1) |
| Age | 29.33 ± 6.206 | 28:32-25 |
| Workper week (hr) | 39.88 ± 27.26 | 40:50-17 |
| How long smoke (year) | 5.6629 ± 4.72 | 5:7-2 |
| How many cigarette (daily) | 5.64 ± 5.21 | 4:7-2 |
Income (1000AF) | N (%) | |
| less than 10 | 38 (23.2%) | |
| 10 to 20 | 51 (31.1%) | |
| 20 to 50 | 56 (34.1%) | |
| 50 to 100 | 15 (9.1%) | |
| more than100 | 4 (2.4%) | |
| Degree | upper diploma | 37(22%) |
| bachelor | 80 (47.6%) | |
| Upper | 51(30.4%) | |
| Marital status | married | 99 (58.9%) |
| single | 69 (41.1%) | |
Table 1: Socio-demographic characteristics of the participants.
| CONSTRUCTS | POSSIBLE RANGE | OBSERVED RANGE | MEAN ± SD | CRONBACH’S ALPHA |
| Initiation | 0 to 4 | 0 to 4 | 2.19 ± 1.26 |
0.804 |
| Participatory dialogue | - 20 to 20 | - 10 to 14 | 4.15 ± 4.96 | |
| Behavioral confidence | 0 to 20 | 0 to 20 | 9.10 ± 5.41 | |
| Changes in the physicalenvironment | 0 to 12 | 0 to 12 | 6.01 ± 2.97 | |
| Sustenance | 0 to 4 | 0 to 4 | 2.08 ± 1.21 | 0.795 |
| Emotional transformation | 0 to 12 | 0 to 12 | 6.62 ± 3.00 | |
| Practice for change | 0 to 12 | 0 to 12 | 6.01 ± 3.06 | |
| Changes in socialenvironment | 0 to 12 | 0 to 12 | 7.02 ± 2.80 |
Table2: Descriptive statistics of constructs of MTM (n = 170).
Abbreviation: MTM, multi-theory model.
| VARIABLES | B | SEB | β | P-value | 95% CI |
| Model 1 | |||||
| Age | .053 | .021 | .230 | .011 | .012, .094 |
| Marital status | -.109 | .225 | -.042 | .630 | -.553, .336 |
| Weekly working (hr) | -.019 | .003 | .407 | .000 | -.026, -.012 |
| Smoking (years) | -.014 | .023 | -.054 | .540 | -.060, .032 |
| Daily smoking | -.073 | .020 | -.300 | .000 | -.112, -.034 |
| F = 9.77, P < .0001,R2 = 0.250, adjusted R2 = 0.224 | |||||
| Model 2 | |||||
| Age | .041 | .019 | .117 | .037 | .002, .079 |
| Marital status | - .156 | .209 | - .061 | .456 | - .570, .257 |
| Weekly working (hr) | -.014 | .003 | - .290 | .000 | - .020, - .007 |
| Smoking (years) | - .005 | .021 | - .017 | .830 | - .047, .038 |
| Daily smoking | - .026 | .020 | - .106 | .202 | - .065, .014 |
| Participatory dialogue | - .002 | .018 | - .009 | .895 | - .038, ,033 |
| Behavioral confidence | .056 | .023 | .241 | .014 | .012, .101 |
| Changes in physical environment | .099 | .045 | .225 | .029 | .010, .187 |
| F = 11.24, P < .0001, R2 = 0.385, adjusted R2 = 0.350, ΔR2 = 0.135, ΔF = 10.52 | |||||
Table 3: Step wise multiple regressions predicting initiation for smoking-cessation (n = 170)
Abbreviations: B, unstandardized coefficient; CI, confidence interval; P, level of significance; SEB, standard error of the coefficient; β, standardized coefficient. The dependent variable is the intent for initiation for smoking cessation behavior change; independent variables are age, marital status, weekly working (hr), smoking (years) participatory dialogue, behavioral confidence, and changes in the physical environment.
| VARIABLES | B | SEB | β | P-value | 95% CI |
| Model 1 | |||||
| Age | .051 | .021 | .226 | .017 | .009,092 |
| Marital status | .186 | .228 | .074 | .417 | - .265, .636 |
| Weekly working (hr) | - .018 | .004 | - .396 | .000 | - .025, - .011 |
| Smoking (years) | .002 | .024 | .009 | .925 | -.044, .049 |
| Daily smoking | - .046 | .020 | - .196 | .022 | - .086, - .007 |
| F = 6.75, P < .0001,R2 = 0.187, adjusted R2 = 0.159 | |||||
| Model 2 | |||||
| Age | .032 | .020 | .143 | .104 | - .007, .071 |
| Marital status | .127 | .210 | .051 | .547 | - .288, .542 |
| Weekly working(hr) | -.009 | .004 | -.202 | .014 | - .016, - .002 |
| Smoking(years) | .003 | .022 | .009 | .999 | - .043, .043 |
| Daily smoking | -.019 | .019 | -.080 | .333 | - .057, - .020 |
| Emotional transformation | .093 | .039 | .222 | .017 | .017, .170 |
| Practice for change | .089 | .036 | .217 | .015 | .017, .161 |
| Changes in socialenvironment | .047 | .032 | .106 | .145 | - .017, .111 |
| F = 8.83,P < .0001, R2 = 0.329, adjusted R2 = 0.292, Δ R2 = 0.142, ΔF = 10.18 | |||||
Table 4: Stepwise multiple regressions predicting sustenance for smoking cessation (n = 170)
Abbreviations: B, unstandardized coefficient; CI, confidence interval; P, level of significance; SEB, standard error of the coefficient; β, standardized coefficient. The dependent variable is intent for sustenance for smoking cessation behavior change; independent variables are age, maritalstat us, weekly working(hr), smoking (years),emotional transformation, practice for change, and changes in the social environment
This study was conducted to examine if the MTM constructs can predict both the intention to initiate smoking behavior and the intention to maintain it among male health workers in the western part of Kabul. Many studies have been conducted on smoking behavior based on the MTM theory including smoking cessation, tobacco cessation, water pipe smoking, cigarette smoking, substance use behavior, [14, 17, 18,19,20,35, 36, 37]. The initiation and sustenance of behavior change are substantiated in predicting health behavior changes by the finding of these studies. An average of good intentions was reported for initiation (i.e., quitting in the near future) and sustainability of smoking cessation (i.e. sustaining smoking cessation for the foreseeable future) among the participants. There was an increase in the R2 of both the initiation regression model and the sustenance regression model after the addition of MTM constructs without considering the demographic covariates. The behavioral confidence of smokers as well as changes in their physical environment were significant predictors of initiation of smoking cessation behaviors. Sustenance for smoking cessation behavior was significantly predicted by emotional transformation and practice for change. It has been determined that 35.0% of the variance in smoking cessation initiation is attributed to age, weekly working hours, daily smoking, behavioral confidence, and physical environment changes, Nahar et al. 2019, showed 23.6% of the variance is attributed to daily smoking, participatory dialogue, behavioral confidence [14], Sumitra SHARMA et al. 2020, reported 48% of the variance in the initiation of smoking cessation is explained by behavioral confidence and changes in the physical environment [17]. Studies conducted in two countries, Nepal and Afghanistan, showed that behavioral confidence and changing the physical environment are more effective in predicting the initiation of behavior change and it is marked with a high percentage. However, the study conducted in the United States found that only behavioral confidence was effective in initiating behavior change. It is likely that the difference in the percentage of Predicting smoking cessation initiation behavior in the United States (23.6%) versus Nepal (48%) and Afghanistan (35.0%), could be related to differences between study contexts. Additionally, a positive correlation is found between both MTM variables and the initiation of smoking cessation. According to our study, participatory dialogue did not predict smoking cessation initiation. The studies of Bashirian et al. 2019, and Nahar et al. 2019, however, have concluded that participatory dialogue is a significant predictor of water pipe smoking and smoking cessation among smokers [14, 19]. Additionally, previous studies have demonstrated that initiating behavior change in other health behaviors is significantly predicted by participatory dialogue, including smoking cessation, water pipe smoking, portion size, physical activity, and mammography screening [14, 19, 22, 24, 32]. Studies related to MTM have demonstrated that participatory dialogue is linked to other health behaviors including behavioral confidence is operationalized in the MTM as a person’s confidence to engage in a behavior change in the future and was derived from Bandura’s self-efficacy and Ajzen’s perceived behavioral control [35]. There has been a significant relationship between perceived behavioral control and self-efficacy and smoking cessation in previous research. Studies show that smoking cessation rates are higher with higher self-efficacy [8]. Research suggests that perceived behavioral control and self-efficacy exert in the effort to diminish smoking behavior, behavioral modification needs to be emphasized as a tool to enhance the level of success in quitting smoking [8, 14, 38]. Previous studies on smoking cessation and water pipe smoking showed that behavioral confidence was an important predictor of smoking cessation and water pipe smoking reduction, the present study also confirms these findings [14, 17, 19]. Previous studies on the constructs of MTM and other behavior-related health measures, for example Physical activities, consumption of sugar-sweetened beverages, binge drinking, eating habits, sleep, outdoor nature contact behavior, and mammography screening, behavioral confidence has consistently been an important predictor of behavior change initiation [22, 23, 25, 27-29, 31, 32, 39]. Physical environment changes significantly contributed to smoking cessation, according to our study. It means that we are able to remove all cigarettes from the environment, to be able to refrain from purchasing cigarettes, this is a concept derived from Bandura's social cognitive theory which is referred to as substitutability of activities in substituting smoking time with something else [14, 19, 21, 22, 24, 27, 31, 31-38, 40-43]. Changing the physical environment was found to be an important predictor of a person's decision to quit smoking in the present study; which is consistent with the study of smoking cessation in Kathmandu Metropolitan City, Nepal [17]. Initiation of other health behaviors is also predicted by MTM, including overdrinking, beverages sweetened with sugar, physical activity, outdoor nature contact behavior, SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results), HPV vaccination, sugar-sweetened beverages, and mammography screenings[17, 23, 25, 28-32, 38]. Different health behaviors across countries are often influenced by environmental factors in combination with individual, family, and community factors [44]. Only practice for change and emotional transformation were significant predictors in the sustenance model, these factors explain 29.2% of the variance, Nahar et al. 2019, reported only emotional transformation was a significant predictor and explained 23.3% of the variance [14] and Sumitra SHARMA et al. 2020, showed 54% of the variance is explained by emotional transformation [17]. In these three studies, emotional transformation played a key role in maintaining behavior change, again in Nepal and Afghanistan, this role is more prominent than in the United States. It is revealed that maintaining behavior change is as effective as initiating behavior. Sustenance is positively correlated with both variables. Emotional intelligence is essential to the transformation of an individual's emotions and consequently can be used in the MTM to direct emotion in a way that will help the smoker quit and change their behavior by overcoming uncertainty [35]. There is a positive correlation between emotional transformation and the sustainability of studies such as smoking cessation [14, 17], tobacco cessation [18], water pipe smoking [19], Smoking cessation in youth [20], and vaping quitting behavior [45]. Smoking cessation sustainment was significantly predicted by practice for change in our study. The practice for change has been identified as a significant predictor of behavior sustenance in previous studies exploring MTM constructs such as water pipe smoking and cigarette smoking in youth [19, 20]. MTM has also been found to be associated with the practice for change and sustainability of other health behaviors in previous studies utilizing the MTM, such as Outdoor Nature Contact Behavior, SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results), physical activity, vaccination, sugar- sweetened beverages, mammography screening [25, 28-32].Smoking cessation sustenance was not significantly predicted by changes in the social environment in this study. An investigation by Abasi et al., titled "Cigarette smoking in Youth, using the MTM", has revealed that social environment plays a significant role in the sustenance of cigarette smoking among youth [20]. Using the MTM to examine the social environment, other health behaviors were found to be significantly influenced by the social environment, including binge drinking, sleep, physical activity, dietary behavior, outdoor nature contact behavior, SAVOR, mammography screening [22, 23, 27-29, 32, 38]. Although this study revealed a negative effect, other studies have indicated positive effects on smoking cessation behavior in the form of family and peer support [32, 46].
The application of new theory of health behavior change (MTM) is strength of this study. However, this study has limitations that the authors would like to acknowledge. In this study, due to target population study limitation, convenience sampling method was used for male health workers who smoke. Therefore, the findings cannot be generalized beyond the sample population of the study. Also, there is a need for future research to use randomized controlled designs to conduct interventional studies. The current study was restricted to only male health worker smokers. Future studies can be planned to investigate both genders. Finally, in this study our sample was from the west region of the Kabul city, so it is not representative of all regions, which may have influenced the results.
Health workers in the western part of Kabul showed significant predictor relationships with two MTM constructs for initiating change and two MTM constructs for maintaining change. The MTM was shown to be accurate at both predicting the initiation of smoking cessation and its sustainability according to the findings of this study. In this study, MTM constructs were successful in initiating and maintaining behavior change through the development of smoking cessation interventions. Based on the MTM, smoking cessation interventions should incorporate behavioral confidence, build upon an individual's change in the physical environment to initiate smoking cessation, and encourage individuals to sustain their smoking cessation efforts by enhancing their emotional responses to behavior change. For the development of tobacco cessation interventions in the future more studies are needed to determine whether the MTM constructs are predictive in other, more diverse and randomized samples to improve generalizability.
The author would like to thank Professor Manoj Sharma a theorist of Multi Theory Model of health behavior change (Department of Social and Behavioral Health, the University of Nevada, USA) for his guidance in providing the MTM-based proposal, during the thesis implementation and as a final reviewer of this article.
Ethics approval and consent to participate
The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Ethics Committee of IR.MODARES.REC. 1399.256 ethical code in Tarbiat Modares University Ethical Committee. And informed consent was obtained from all subjects involved in the study.
Consent for publication
Consent for publication not applicable.
Availability of data and materials
Data are confidential and are not available upon request.
Conflict of Interests
The authors declare no conflicts of interest.
Funding
Not applicable
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
