Motivational interviewing for smoking cessation

描述（由调查者提供）：大约25%的美国人吸烟，大多数吸烟者不打算很快戒烟。对于这些吸烟者来说，量身定制的干预措施可以降低他们的抵抗力，增强他们戒烟的意愿，这是最有效的。动机性访谈（MI）侧重于通过提高吸烟是一个问题的意识、加强动机和增加改变是可能的信心来克服对改变的抵制。最后，当患者承诺戒烟时，MI将重点放在戒烟策略和复发预防上。在第一阶段的“透过角色扮演互联网传递模拟的动机性访谈”计划中，我们开发了一个互动式多媒体模拟和辅导环境，以训练医护人员和学生为尚未准备戒烟的患者提供简短的动机性吸烟咨询。评价表明，1)使用者发现MIRIS是一个有吸引力和用户友好的教程，2)MIRIS在教授简短的动机戒烟策略方面是有效的。第二阶段的目标包括增加音频和视频，为不同阶段的患者开发额外的模块，并与两家医疗机构的临床医生进行大规模的教学效果研究。

DESCRIPTION (provided by investigator): About 25% of Americans smoke and the majority of current smokers do not plan on quitting any time soon. For these smokers, interventions tailored to decrease their resistance and increase their readiness to stop smoking are most effective. Motivational Interviewing (MI) focuses on overcoming resistance to change by increasing awareness that smoking is a problem, strengthening motivation, and increasing confidence that change is possible. Finally, when the patient makes a commitment to quitting, MI focuses on quitting strategies and relapse prevention. In Phase I of the Motivational Interviewing via Role-play internet-delivered Simulation (MIRIS) project, we developed an interactive multimedia simulation and tutoring environment to train healthcare professionals and students to deliver a brief motivational smoking consult for patients not ready to quit smoking. Evaluations indicate that 1) users found MIRIS to be an attractive and user-friendly tutorial and 2) MIRIS is effective in teaching brief motivational smoking cessation strategies. Phase II goals include adding audio and video, developing additional modules for working with patients at different stages of change and conducting a large teaching effectiveness study with clinicians at two medical settings.