An Adaptation of Motivational Interviewing Increases Quit Attempts in Smokers With Serious Mental Illness

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Marc L SteinbergNina A Cooperman

Abstract

Smokers with serious mental illness (SMI) have a high smoking prevalence and a low quit rate. Motivational interviewing (MI) is an empirically supported approach for addressing substance use disorders and may motivate smokers with SMI to quit. We randomized smokers (N = 98) with SMI to receive a single 45-minute session of (1) MI with personalized feedback or (2) interactive education. We hypothesized that participants receiving the MI intervention would be more likely to follow-up on a referral for tobacco dependence treatment, to make a quit attempt, and to quit smoking than those receiving the interactive educational intervention. Smokers receiving an MI intervention were significantly more likely to make a quit attempt by the 1-month follow-up (34.7% vs. 14.3%; OR = 4.39 [95% CI = 1.44 to 13.34], P = .009); however, these quit attempts did not translate into abstinence. In addition, 32.7% of those receiving MI followed-up on a referral for tobacco dependence treatment (vs. 20.4% receiving interactive education; OR = 2.02 [95% CI = 0.76 to 3.55], P = .157). MI Treatment Integrity Code ratings indicated that the interventions were easily distinguishable from each other and that MI was delivered with proficiency. Despite the i...Continue Reading

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Jan 1, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Andrea H Weinberger
Dec 20, 2016·Annual Review of Public Health·Judith J ProchaskaKelly C Young-Wolff
Nov 22, 2017·Substance Use & Misuse·Bruce A ChristiansenMichael C Fiore
Feb 1, 2018·Translational Behavioral Medicine·Kelly A AschbrennerMary F Brunette
Dec 29, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Jaimee L HeffnerMichael Ostacher
Feb 11, 2020·JMIR Mental Health·Mary F BrunetteHaiyi Xie
Mar 13, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Marc L SteinbergTeresa M Leyro
Dec 10, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Su Fen LubitzRobert A Schnoll
Jan 9, 2019·Frontiers in Psychiatry·Amanda L BakerBillie Bonevski
Aug 20, 2019·The Cochrane Database of Systematic Reviews·Nicola LindsonPaul Aveyard
Mar 17, 2021·Journal of Dual Diagnosis·Benjamin E Billingsley, Marc L Steinberg

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