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。 的 这项研究的长期目标是研究如何影响 青少年吸烟率下降。 主要目的是 研究是为了检查简短的、个人的激励是否 在医院急诊科（艾德）进行面谈（MI）治疗 一周后再进行一次强化治疗， 改变青少年人群随后的吸烟行为 艾德患者。 干预的有效性将由 将青少年吸烟者随机分配到标准护理组或 MI加加强剂，然后比较1、3、6和12- 15天的组。 随访一个月，进行自我报告和生化指标检查。 动机性访谈被选为实验性的 由于其作为一个简短的承诺， 在医疗环境中的干预，以及它的适当性， 吸烟人口，其中将包括一个全面的动机 改变 心肌梗死对相关行为和认知的影响 戒烟也将进行评估，包括： 戒烟尝试，戒烟总持续时间， 戒烟，改变吸烟行为的动机，负 评估吸烟的后果。 为了识别个体 最有可能受益于MI，几个中介效应 将探索基线特征，包括尼古丁水平或 依赖，改变吸烟行为的动机阶段， 抑郁情绪和其他药物的使用。 仪器开发是 也是要完成的工作重点。 重要的是 工作是其提供具有成本效益的简短干预的潜力 减少青少年吸烟。 因为它是在 艾德，它到达青少年的高风险人群， 很难到达其他地方，即，辍学的年轻人 在艾德外得不到医疗服务的学校和青少年 设置.

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.