The purpose of this study is to determine whether or not motivational interviewing is effective in smoking cessation at general practice setting in China.
OBJECTIVES: • To compare the effectiveness of motivational interviewing versus brief advice by conducting a randomized controlled trial in General Practice Setting in China. OUTLINE: This is a randomized controlled study. Patients are randomized to either the intervention arm or the control arm. • Arm I (intervention): Patients will be given a 20 minutes personal talk in the family physician's office during the visit. The family physicians will determine the stage of change in smoking cessation (precontemplative, contemplative, action, maintenance and relapse) and use the motivational interviewing skills during the talk. The motivational interviewing skills include expressing empathy, developing discrepancy, rolling with resistance, supporting self efficacy. Up to six phone calls will be given to the patients during the follow-up, using the motivational interviewing skill. • Arm II (control): Patients will receive brief advice for smoking cessation, lasting approximately 5 minutes. The risks of smoking and the advantages of quitting will be explained. The information provided during the talk will be standardized. No phone call will be given during the follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
210
1\. Structural motivational interviewing for one section (about 20 mins),provided by family physician;2. Follow-up telephone call,provided by family physician.
1 week point prevalence abstinence (PPA)
Validation: exhaled carbon monoxide (CO) (\< 10 ppm)
Time frame: Self-reported PPA at 1 week follow-up
1 month PPA
Validation: exhaled CO (\< 10 ppm)
Time frame: Self-reported 7-day PPA at 1 month follow-up
3 month PPA
Validation: exhaled CO (\< 10 ppm)
Time frame: Self-reported 7-day PPA at 3 month follow-up
6 month PPA
Validation: exhaled CO (\< 10 ppm)
Time frame: Self-reported 7-day PPA at 6 month follow-up
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