Motivational interviewing versus prescriptive advice for smokers who are not ready to quit

Patient Education and Counseling
Melinda F DavisLee Sechrest

Abstract

Smokers who are not ready to quit are a very difficult group to treat. Physicians, nurses, and nurse practitioners are in a unique position to encourage patients to quit smoking. However, the best approach to do so is not clear. A two-group randomized controlled trial with 218 pack-a-day precontemplative and contemplative smokers recruited from the community. The laboratory-based study was designed to simulate outpatient visits to general practitioners. Participants were randomized to a 15-min intervention to compare the effectiveness of brief motivational or prescriptive counseling by a health professional. Thirteen outcome variables included intentions to quit and verbal reports at 1 and 6 months with biological verification. A composite outcome measure was constructed to provide greater power to detect study differences. Approximately 33% of the sample reported at least one 24-h quit period during the 6 months they were followed after the trial. Results suggest that while neither treatment was superior, there were subgroup differences. Participants in the motivational condition were also more likely to respond to follow-up calls. Motivational interviewing and prescriptive advice were equally effective for precontemplative an...Continue Reading

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References

Apr 1, 1989·Journal of Behavioral Medicine·K O Fagerstrom, N G Schneider
Jan 6, 1984·Children's Health Care : Journal of the Association for the Care of Children's Health·A Schreier, D Kaplan
Aug 10, 2001·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·K I PollakL C Grothaus
Dec 23, 2003·Journal of General Internal Medicine·John R Hughes
Oct 16, 2004·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Nancy A HaugCarlo Diclemente
May 17, 2005·Addictive Behaviors·Suzanne M ColbyWilliam Lewander
Nov 17, 2005·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Meg GerrardMichelle L Stock
Aug 25, 2007·Annual Review of Clinical Psychology·Jennifer HettemaWilliam R Miller
Sep 15, 2007·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jennifer Prah RugerKaren M Emmons

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Citations

Sep 29, 2011·Patient Education and Counseling·Sanna M SalmelaMarita Poskiparta
Dec 30, 2015·American Journal of Preventive Medicine·Delwyn CatleyJames E Grobe
Jul 29, 2018·Systematic Reviews·Christina MutschlerKelly McShane
Oct 24, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Jennifer M WrayStephen A Maisto
Feb 18, 2016·The Journal of Rheumatology·Helen E HarrisKay Samson
Mar 3, 2015·The Cochrane Database of Systematic Reviews·Nicola Lindson-HawleyRachna Begh
Aug 20, 2019·The Cochrane Database of Systematic Reviews·Nicola LindsonPaul Aveyard
Jun 16, 2018·American Journal of Preventive Medicine·Ayesha AliRobert C Klesges

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