Motivational interviewing for smoking cessation

描述（由研究者提供）：大约25%的美国人吸烟，大多数目前的吸烟者不打算很快戒烟。 对于这些吸烟者来说，针对性的干预措施，以减少他们的抵抗力，提高他们戒烟的准备是最有效的。动机性面试（MI）的重点是通过提高对吸烟是一个问题的认识，加强动机，并增加改变的信心来克服对改变的阻力。最后，当患者承诺戒烟时，MI专注于戒烟策略和复发预防。在通过角色扮演互联网提供的模拟（MIRIS）项目的动机性访谈的第一阶段，我们开发了一个互动的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动机性吸烟咨询。评估表明，1）用户发现MIRIS是一个有吸引力的和用户友好的教程和2）MIRIS是有效的教学简短的动机戒烟策略。第二阶段的目标包括增加音频和视频，开发额外的模块，用于与处于不同变化阶段的患者合作，并在两个医疗环境中与临床医生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.