MOTIVATIONAL INTERVIEWING FOR TEEN SMOKERS IN THE ER

青少年吸烟对健康构成重大威胁， 90%的成年人在18岁之前开始吸烟。 这项研究的长期目标是探索产生影响的方法 青少年中吸烟人数的减少。这样做的主要目的是 研究是考察短暂的、个人的动机是否 医院急诊科的面谈(MI)治疗 一周后再进行一次强化训练会对 改变青少年人群随后的吸烟行为 勃起功能障碍患者。干预的有效性将被确定。 通过随机将青少年吸烟者分配给标准的 MI加助推器，然后比较1，3，6和12组- 每月对自我报告和生化指标进行跟踪。 激励性访谈被选为实验研究 干预，因为它展示了作为一个简短的承诺 在医疗环境中的干预，以及它对 吸烟者人数将包括各种动机 去改变。移动智能对儿童心理健康相关行为和认知的影响 戒烟也将被评估，包括：对数字的影响 戒烟尝试次数，戒断总持续时间，寻求治疗 戒烟，改变吸烟行为的动机，消极 吸烟后果的评估。为了确认个人的身份 最有可能从MI中受益的是几个 将探索基线特征，包括尼古丁水平或尼古丁 依赖性，改变吸烟行为的动机阶段， 抑郁情绪，以及使用其他药物。仪器开发是 也是要完成的工作的重点。重要的是 工作是其提供具有成本效益的短暂干预的潜力 以减少青少年中的吸烟。因为它是在 ED，它接触到青少年的高危人群，这将是 在其他地方很难接触到，即辍学的青年 在教育署以外没有接受医疗服务的学校和青少年 布景。

Tobacco smoking by adolescents poses a major health threat, with 90% of adults having initiated smoking before the age of 18. The long-term objective of this research is to investigate ways to effect decreases is smoking among adolescents. The major purpose of this study is to examine whether brief, individual motivational interviewing (MI) treatment in a hospital emergency department (ED) followed by a booster session one week later can be effective in changing subsequent smoking behavior in a population of adolescent ED patients. The effectiveness of the intervention will be determined by randomly assigning adolescent smokers to either standard care of MI plus booster, and then comparing groups at 1, 3, 6, and 12- month follow ups on self-report and biochemical measures. Motivational Interviewing has been selected as the experimental intervention because of its demonstrated promise as a brief intervention in medical settings, and its appropriateness for a population of smokers which will include a full range of motivation to change. MI's effect on behaviors and cognitions related to quitting smoking will also be assessed, including: effects on number of quit attempts, total duration of abstinence, treatment seeking for smoking cessation, motivation to change smoking behavior, negative evaluation of smoking consequences. In order to identify individuals most likely to benefit from MI, the mediating effects of several baseline characteristics will be explored, including level or nicotine dependence, stage of motivation to change smoking behavior, depressed affect, and use of other drugs. Instrument development is also a focus of the work to be accomplished. The importance is this work is its potential for providing a cost-effective brief intervention to reduce smoking among adolescents. Because it is implemented in the ED, it reaches a high-risk population of adolescents that would be difficult to reach elsewhere, i.e., youth who have dropped out of school and youth who do not receive health care outside the ED setting.