This study's objective was to test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses.
Despite the important role that health professionals have in reducing tobacco use, many have a smoking habit themselves. The prevalence of smoking is particularly high among nurses. A smoking cessation intervention for nurses who smoked, based on MI, was designed and evaluated following the UK Medical Research Council's (MRC) framework for complex interventions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Intervention, four one-to-one sessions on an approximately weekly basis, with 3 components: MI context, toolkit, and relapse prevention. The sessions were embedded in a MI context and followed two phases: exploratory and resolutive. The former explored the potential ambivalence that nurses experienced and constructed motivation for change; the latter reinforced the decision to quit and developed a change plan. Participants could choose over a range of tools: some more helpful in the exploratory phase (i.e. decisional balance sheet) and others in the resolutive phase (i.e. problem solving skills). The third component was directed at maintenance strategies. The therapy stayed with the nurses in terms of where they were in relation to they readiness for change.
Brief advice based on 5As
Clinica Universidad de Navarra
Pamplona, Navarre, Spain
Biochemically verified smoking cessation
Urine sample collected in nurses who self-reported being abstinent for at least one week
Time frame: Following nurses' self-report of quitting (end of intervention (1 month) to 3 month follow-up)
Participant satisfaction
Client Satisfaction Questionnaire (CHQ-8) (Roberts et al 1984)
Time frame: End of intervention (1 month)
Duration of sessions
Following researcher's diary records
Time frame: End of intervention (1 month)
Changes in Mean cigarettes smoked
Number of cigarettes smoked
Time frame: Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Stages of change
Assessment of desire and readiness to quit smoking (Prochaska and Velicer, 1997)
Time frame: Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Nicotine Dependence
Assessment of nicotine dependence using the Fagerström Test for Nicotine Dependence (FTND) (Becoña and Vazquez, 1998)
Time frame: Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Self-efficacy
Assessment of general self-efficacy using GSE scale (Scholz et al, 2002)
Time frame: Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Depression score
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Depression screening using the Patient Health Questionnaire (PHQ-9) (Kroenke et al 2001)
Time frame: Baseline, end of intervention (1 month) and 3 month follow-up
Adherence to MI
Assessment of intervention fidelity and adherence to MI principles using Motivational Interviewing Treatment Integrity (MITI) Code (Moyers et al 2005)
Time frame: End of intervention (1 month)