Can Motivational Interviewing be Effective for Smoking Cessation?

动机访谈对戒烟有效吗？

• 批准号: 8325144
• 负责人: DELWYN CATLEY
• 金额: $ 21.26万
• 依托单位: UNIVERSITY OF MISSOURI KANSAS CITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-29 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8325144
• 关键词: Abstinence; Addictive Behavior; Address; Adherence; Adolescent; Adult; Behavior Therapy; Cause of Death; Chantix; Counseling; Effectiveness; Enrollment; Face; Guidelines; Health; Health behavior; Hour; Individual; Intervention; Measures; Mediating; Mental disorders; Methods; Motivation; Outcome; Participant; Patient Self-Report; Persons; Pharmaceutical Preparations; Pharmacotherapy; Physiological; Prevalence; Public Health; Public Housing; Randomized; Readiness; Relative (related person); Research; Sampling; Self Determination; Smoker; Smoking; Telephone; Testing; Theoretical model; Time; Tobacco smoking; Work; base; behavior change; behavioral clinical trial; brief advice; design; follow-up; interest; motivational enhancement therapy; named group; novel; primary outcome; randomized trial; smoking cessation; standard of care; theories; therapy design; treatment as usual; treatment effect; varenicline

DESCRIPTION (provided by applicant): Tobacco smoking remains one of the most significant preventable causes of death in the U.S. Although most smokers are interested in quitting, only one in five are ready to make a quit attempt at any point in time. Unfortunately, few interventions designed to enhance motivation or readiness among smokers who are not ready to quit are available. One intervention method that focuses on enhancing motivation for and commitment to behavior change is Motivational Interviewing (MI). MI has been shown to be effective for addressing a variety of addictive and health behaviors, however findings for smoking cessation have been overwhelmingly negative and all prior studies have significant limitations. One important limitation of prior studies is that they were not designed to directly test whether MI is more effective for smokers who are not ready to quit, and in particular, whether MI was more effective at motivating quit attempts. Moreover, nearly all focused on special populations such as public housing residents, adolescents, and people with mental illness, many of whom face significant environmental and physiological barriers to quitting. Therefore, the primary aim of this study is to test, among a sample of general adult smokers, the effectiveness of MI for motivating quit attempts among smokers not yet ready to quit. We will randomly assign eligible smokers to Motivational Interviewing (MI), a PHS Guidelines-based counseling control (GBC), or brief advice (BA). The primary outcome will be the occurrence (or not) of any self-reported quit attempt lasting at least 24 hours between randomization and 6 month follow-up. The secondary aim will be to examine 6 month follow-up quit rates between the groups in order to provide an effect size estimate that could be used in designing a large scale study with a primary outcome of smoking cessation. Participants in BA will receive 1 session and participants MI and GBC will receive 5 individual sessions (2 in-person, 3 phone) over 7 weeks. All participants who decide to quit will be provided with varenicline (Chantix). We project needing to enroll 255 smokers who are not ready to quit to detect the proposed treatment effect. PUBLIC HEALTH RELEVANCE: Tobacco smoking remains one of the most significant preventable causes of death in the U.S. and although most smokers are interested in quitting, four in five are not ready to make a quit attempt at any given point in time. This project addresses the lack of methods designed to increase readiness to quit by testing a novel counseling method known as Motivational Interviewing. The potential public health impact is large because it could extend the reach of effective cessation interventions to the majority of smokers who are unmotivated and reduce the decades-long lag between smoking initiation and cessation.

描述(申请人提供)：在美国，吸烟仍然是最重要的可预防的死亡原因之一。尽管大多数吸烟者对戒烟感兴趣，但只有五分之一的人准备在任何时候尝试戒烟。不幸的是，几乎没有旨在增强吸烟者动力或戒烟准备的干预措施。一种专注于提高行为改变的动机和承诺的干预方法是动机访谈(MI)。MI已被证明对解决各种成瘾和健康行为有效，然而，对于戒烟的研究结果绝大多数是否定的，而且所有先前的研究都有显著的局限性。先前研究的一个重要局限性是，它们不是为了直接测试MI是否对还没有准备戒烟的吸烟者更有效，特别是MI是否更有效地激励戒烟尝试。此外，几乎所有的调查都集中在特殊人群，如公共住房居民、青少年和精神疾病患者，他们中的许多人在戒烟时面临着重大的环境和生理障碍。因此，这项研究的主要目的是在普通成年吸烟者中测试MI在尚未准备戒烟的吸烟者中激励戒烟尝试的有效性。我们将随机分配符合条件的吸烟者进行动机访谈(MI)、基于PHS指南的咨询对照(GBC)或简短建议(BA)。主要结果将是在随机化和6个月的随访之间持续至少24小时的任何自我报告的戒烟尝试的发生(或不发生)。第二个目标是检查两组之间6个月的随访戒烟率，以便提供一个效应大小估计，可用于设计一项以戒烟为主要结果的大规模研究。BA的参与者将获得1次会议，参与者MI和GBC将在7周内获得5次个人会议(2次面对面，3次电话)。所有决定退出的参与者将获得varenicline(Chantix)。我们预计需要招募255名尚未准备戒烟的吸烟者来检测拟议的治疗效果。与公共健康相关：在美国，吸烟仍然是最重要的可预防的死亡原因之一，尽管大多数吸烟者对戒烟感兴趣，但五分之四的人在任何给定的时间点都没有准备好戒烟。这个项目通过测试一种名为动机访谈的新咨询方法来解决缺乏旨在提高戒烟准备的方法。潜在的公共健康影响是巨大的，因为它可以将有效戒烟干预的范围扩大到大多数没有戒烟动机的吸烟者，并减少开始吸烟和戒烟之间长达数十年的滞后。

项目成果

Relationship of Autonomy Social Support to Quitting Motivation in Diverse Smokers.

• DOI: 10.3109/16066359.2016.1170815
• 发表时间: 2016
• 期刊: Addiction research & theory
• 影响因子: 2.9
• 作者: Patten CA;Clinic M;Goggin K;Harris KJ;Richter K;Williams K;Decker PA;Clinic M;Bradley-Ewing A;Catley D
• 通讯作者: Catley D

Effectiveness of motivational interviewing, health education and brief advice in a population of smokers who are not ready to quit.

对尚未准备好戒烟的吸烟者群体进行动机访谈、健康教育和简短建议的有效性。

• DOI: 10.1186/s12874-018-0511-0
• 发表时间: 2018
• 期刊: BMC medical research methodology
• 影响因子: 4
• 作者: Bani-Yaghoub,Majid;Elhomani,Abdellatif;Catley,Delwyn
• 通讯作者: Catley,Delwyn

Exploring the Severity of Dependence Scale (SDS) as a possible measure of nicotine dependence.

• DOI: 10.1080/08897077.2015.1062459
• 发表时间: 2016-04
• 期刊: Substance abuse
• 影响因子: 3.5
• 作者: Mercincavage M;Smyth JM;Branstetter SA;Catley D
• 通讯作者: Catley D

Physician smoking cessation counseling and adherence to a clinical practice guideline.

医生戒烟咨询和遵守临床实践指南。

• DOI: 10.5750/ejpch.v2i4.833
• 发表时间: 2014
• 期刊: European journal for person centered healthcare
• 作者: Champassak,SofieL;Catley,Delwyn;Finocchario-Kessler,Sarah;Farris,Maghen;Ehtesham,Maniza;Schoor,Rachel;Goggin,Kathy
• 通讯作者: Goggin,Kathy

Differential mechanisms of change in motivational interviewing versus health education for smoking cessation induction.

• DOI: 10.1037/adb0000720
• 发表时间: 2021-11
• 期刊: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
• 作者: Catley D;Grobe J;Moreno JL;Stortz S;Fox AT;Bradley-Ewing A;Richter KP;Resnicow K;Harris KJ;Goggin K
• 通讯作者: Goggin K