Differential mechanisms of change in motivational interviewing versus health education for smoking cessation induction.
Differential mechanisms of change in motivational interviewing versus health education for smoking cessation induction.
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DOI：
10.1037/adb0000720
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Goggin K
中科院分区：
文献类型：
--
作者：
Catley D;Grobe J;Moreno JL;Stortz S;Fox AT;Bradley-Ewing A;Richter KP;Resnicow K;Harris KJ;Goggin K
为了确定动机访谈(MI)和健康教育(HE)是否引起不同类型的客户语言，以及这些差异是否与戒烟动机低的吸烟者的戒烟诱导随机临床试验的结果相关。二次数据分析是使用一项试验的MI和HE臂的数据进行的，在该试验中，吸烟(N=202)且戒烟意愿低的人被随机分配到MI、HE或简要建议的四个疗程中。调解分析考察了两种类型的客户语言：改变谈话(CT)和一种被称为学习谈话(LT)的新型客户演讲形式。在基线、3个月和6个月时评估结果。以HE为参照组，MI导致较多的改变对话(OR=3.0，95%CI 1.7~5.5)，与较好的结果相关(平均d=0.34，SD=0.13)；MI-CT(OR=1.4，95%CI 1.1~1.7)和HE-LT(OR=0.4，95%CI 0.2~0.7)对戒断尝试有显著的间接平行中介效应。MI和HE都是通过不同的途径改变的，证实了MI在这项随机对照试验中的效用，并强调了基于5R的HE在戒烟方面的潜力。这些发现强调了探索随机对照试验中评估的干预措施的理论化作用机制的价值。
To determine if Motivational Interviewing (MI) versus health education (HE) elicited different types of client language and whether these differences were associated with outcomes in a randomized clinical trial for cessation induction among people who smoke with low motivation to quit. A secondary data analysis was conducted using data from the MI and HE arms of a trial in which people who smoke (N=202) with low desire to quit were randomly assigned to four sessions of MI, HE or brief advice. Mediation analyses examined two types of client language: change talk (CT) and a novel form of client speech called “learning talk” (LT). Outcomes were assessed at baseline, 3- and 6-months. With HE as the reference group, MI resulted in greater change talk (OR=3.0, 95% CI 1.7–5.5) which was associated with better outcomes (average d=0.34, SD=0.13) and HE resulted in greater learning talk (OR = 0.05, 95% CI 0.02–0.10) which was also associated with better outcomes (average d=0.42, SD=0.08). Indirect parallel mediation effects on quit attempts were significant for both MI-CT (OR=1.4, 95% CI 1.1–1.7) and HE-LT (OR=0.4, 95% CI 0.2–0.7). MI and HE were both efficacious via different pathways to change, confirming the utility of MI in this RCT as well as highlighting the potential of HE based on the “5 R’s” for smoking cessation. These findings emphasize the value of exploring theorized mechanisms of action of interventions evaluated in RCTs.
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DOI：
10.1037/adb0000243
发表时间：
2017-02
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
--
作者：
Klemperer EM;Hughes JR;Callas PW;Solomon LJ
通讯作者：
Solomon LJ
影响因子：
4.7
作者：
Lombardi DR;Button ML;Westra HA
通讯作者：
Westra HA
影响因子：
2.2
作者：
Alexander DS;Hogan SL;Jordan JM;DeVellis RF;Carpenter DM
通讯作者：
Carpenter DM
影响因子：
7
作者：
Imai, Kosuke;Keele, Luke;Tingley, Dustin
通讯作者：
Tingley, Dustin
影响因子：
3.4
作者：
Aharonovich, Efrat;Arnrhein, Paul C.;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.