Motivational interviewing for smoking cessation

描述(由调查人员提供)：大约25%的美国人吸烟，目前大多数吸烟者不打算在短期内戒烟。对于这些吸烟者来说，为减少他们的抵抗力和增加他们戒烟的准备而量身定做的干预是最有效的。动机访谈(MI)的重点是通过提高人们对吸烟是一个问题的认识，增强动力，以及增加改变是可能的信心来克服对改变的阻力。最后，当患者承诺戒烟时，MI将重点放在戒烟策略和预防复发上。在通过角色扮演互联网交付模拟(MIRIS)项目的激励访谈的第一阶段，我们开发了一个交互式多媒体模拟和辅导环境，以培训医疗保健专业人员和学生为尚未准备好戒烟的患者提供简短的激励吸烟咨询。评估表明，1)用户发现MIRIS是一个有吸引力和用户友好的教程，2)MIRIS在教授简短的激励性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，开发用于处理处于不同变化阶段的患者的额外模块，以及在两个医疗环境中与临床医生一起进行大型教学效果研究。

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.