Objective: 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. Methods: 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. Results: 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. Conclusions and practice implications: Motivational interviewing and prescriptive advice were equally effective for precontemplative and contemplative smokers. Practitioners should use the method that appeals to them. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
机构:
Univ North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USAUniv North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USA
Rasu, Rafia S.
Thelen, Joanie
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Univ Missouri, Kansas City, MO 64110 USAUniv North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USA
Thelen, Joanie
Bawa, Walter Agbor
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Univ North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USAUniv North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USA
Bawa, Walter Agbor
Goggin, Kathy
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Childrens Mercy Kansas City, Ctr Childrens Hlth Lifestyles & Nutr, Kansas City, MO USA
Univ Missouri, Sch Med, Kansas City, MO 64108 USA
Childrens Mercy Kansas City, Div Hlth Serv & Outcomes Res, Kansas City, MO USA
Univ Missouri, Sch Pharm, Kansas City, MO 64110 USAUniv North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USA
Goggin, Kathy
Bradley-Ewing, Andrea
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Childrens Mercy Kansas City, Div Hlth Serv & Outcomes Res, Kansas City, MO USAUniv North Texas, Hlth Sci Ctr, Ft Worth, TX 76107 USA
机构:
Providence Vet Affairs Med Ctr, Providence, RI 02908 USA
Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Rohsenow, Damaris J.
Martin, Rosemarie A.
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Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Martin, Rosemarie A.
Monti, Peter M.
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Providence Vet Affairs Med Ctr, Providence, RI 02908 USA
Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Monti, Peter M.
Colby, Suzanne M.
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Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Colby, Suzanne M.
Day, Anne M.
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Brown Univ, Ctr Alcohol & Addict Studies, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Day, Anne M.
Abrams, David B.
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Brown Univ, Sch Med, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Abrams, David B.
Sirota, Alan D.
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Providence Vet Affairs Med Ctr, Providence, RI 02908 USA
Brown Univ, Sch Med, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
Sirota, Alan D.
Swift, Robert M.
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Providence Vet Affairs Med Ctr, Providence, RI 02908 USA
Brown Univ, Sch Med, Providence, RI 02912 USAProvidence Vet Affairs Med Ctr, Providence, RI 02908 USA
机构:
Boston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Div Behav Sci Res, Boston, MA 02118 USABoston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Div Behav Sci Res, Boston, MA 02118 USA
Endrighi, Romano
Hammond, S. Katharine
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Univ Calif Berkeley, Environm Hlth Sci Div, Sch Publ Hlth, Berkeley, CA 94720 USABoston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Div Behav Sci Res, Boston, MA 02118 USA
Hammond, S. Katharine
Dunsiger, Shira
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机构:
Brown Univ, Cen Behav & Prevent Med, Alpert Med Sch, Providence, RI 02912 USA
Miriam Hosp, Providence, RI 02906 USABoston Univ, Henry M Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Div Behav Sci Res, Boston, MA 02118 USA