Race moderates the effects of Motivational Interviewing on smoking cessation induction
Race moderates the effects of Motivational Interviewing on smoking cessation induction
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DOI：
10.1016/j.pec.2019.08.023
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发表时间：
2020-02-01
影响因子：
3.5
通讯作者：
Catley, Delwyn
中科院分区：
文献类型：
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作者：
Grobe, James E.;Goggin, Kathy;Catley, Delwyn
目的：健康差异需要探索种族如何缓和对戒烟治疗的反应。方法：将戒烟意欲低的成年吸烟者(138名AA和66名NB)随机分配到4次MI或健康教育(HE)治疗中。3个月和6个月的结果(例如戒烟尝试)被评估。结果：有证据表明，在AA吸烟者中，通过治疗相互作用，MI不如HE有效。交互作用的平均Cohen‘s d为-0.32(95%CI[-0.44，-0.20])。然而，种族交互作用可以通过控制基线关系状态和沟通偏好(WANTS指令方法)来解释。结论：与另一种积极和更直接的治疗相比，MI对AA和NB吸烟者的戒烟诱导效果可能较差。不同种族之间的不同反应可能可以用心理社会变量来解释。实践暗示：MI可能不是所有非裔美国吸烟者的理想选择。患者的关系状况和对指导咨询方法的偏好可能解释了对心肌梗死治疗反应的差异。(C)2019爱思唯尔B.V.保留所有权利。
Objective: Health disparities necessitate exploration of how race moderates response to smoking cessation treatment. Data from a randomized clinical trial of Motivational Interviewing (MI) for smoking cessation induction were used to explore differential treatment response between African American (AA) vs Non-Black (NB) smokers.Methods: Adult tobacco smokers (138 AA vs 66 NB) with low desire to quit were randomly assigned to four sessions of MI or health education (HE). Outcomes (e.g., quit attempts) were assessed 3- and 6-months.Results: There was evidence of a Race by Treatment interaction such that MI was less effective than HE in AA smokers. Mean Cohen's d for the interaction effect was -0.32 (95% CI [-0.44, -0.20]). However, the race interaction could be accounted for by controlling for baseline relationship status and communication preference (wants directive approach).Conclusions: MI may be less effective for smoking cessation induction in AA vs NB smokers when compared to another active and more directive therapy. The differential response between races may be explained by psychosocial variables.Practice implications: MI may not be an ideal choice for all African American smokers. Patients' relationship status and preference for a directive counseling approach might explain disparities in response to MI treatment. (C) 2019 Elsevier B.V. All rights reserved.