Adherence to the principles of Motivational Interviewing, clients' characteristics and behavior outcome in a smoking cessation and relapse prevention trial in women postpartum

Thyrian, Jochen René; Freyer‐Adam, Jennis; Hannöver, Wolfgang; Röske, K.; Mentzel, Franziska; Kufeld, Claudia; Bischof, Gallus; Rumpf, Hans‐Jürgen; John, Ulrich; Hapke, Ulfert

doi:10.1016/j.addbeh.2007.01.024

Cited by 43 publications

(23 citation statements)

References 11 publications

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“…Possible ratings on indices ranged from 1 (low) to 7 (high). Counselors maintained adequate adherence to MI (empathy/understanding M = 5.39 [SD = 0.62] and MI spirit M = 5.50 [SD = 0.57]), which compares favorably with other intervention studies in similar populations (Thyrian et al, 2007). Counselors maintained excellent adherence (Moyers et al, n.d.) to the MAPS/MAPS+ treatment manual (M = 6.77 [SD = 0.50]) throughout the study.…”

Section: Treatment Delivery and Integritymentioning

confidence: 58%

Preventing postpartum smoking relapse among diverse low-income women: A randomized clinical trial

Reitzel

Vidrine

Businelle

et al. 2010

Nicotine & Tobacco Research

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Introduction: Postpartum relapse rates are high among women who spontaneously quit smoking during pregnancy. This randomized clinical trial tested a Motivation and ProblemSolving (MAPS) treatment for reducing postpartum relapse among diverse low-income women who quit smoking during pregnancy (N = 251; 32% Black, 30% Latino, and 36% White; 55% <$30,000/year household income).Methods: Pregnant women were randomly assigned to MAPS/ MAPS+ or Usual Care (UC). Continuation ratio logit models were used to examine differences in biochemically confirmed continuous abstinence at Weeks 8 and 26 postpartum by treatment group and moderators of the treatment effect. Analyses controlled for age, race/ethnicity, partner status, education, smoking rate, and the number of smokers in the participant's environment.Results: MAPS/MAPS+ was more efficacious than UC in the prevention of postpartum relapse (p = .05). An interaction between treatment and the number of cigarettes smoked per day before quitting approached significance (p = .09), suggesting that the MAPS/MAPS+ treatment effect was stronger among women who smoked more cigarettes per day.Discussion: MAPS, a holistic and dynamic approach to changing behavior using a combined motivational enhancement and social cognitive approach, is a promising intervention for postpartum smoking relapse prevention among low-income women, which may have particular relevance for women with higher prequit smoking rates.

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Section: Treatment Delivery and Integritymentioning

confidence: 58%

Preventing postpartum smoking relapse among diverse low-income women: A randomized clinical trial

Reitzel

Vidrine

Businelle

et al. 2010

Nicotine & Tobacco Research

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“…This might have resulted from the generally low levels of MI treatment integrity as evidenced by our coding process, or the very short period of time between measurements (3 weeks). Better quality motivational interviews might have produced more favorable outcomes, as has been demonstrated in other studies (McCambridge, Day, Thomas, & Strang, 2011;Thyrian et al, 2007), and a longer amount of time between measurements might allow for the process of internalization of PA behavior to better unfold within patients.…”

Section: Development Of Therapist MI Proficiency Over Timementioning

confidence: 73%

Are Aspects of a Motivational Interview Related to Subsequent Changes in Physical Activity and Regulatory Style? Examining Relationships among Patients with Rheumatoid Arthritis

Knittle

Gucht

Mejino

et al. 2015

MITRIP

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Objectives: To determine whether the integrity of motivational interviewing (MI) delivery relates to short-term changes in physical activity (PA) and regulatory style within a sample of patients with rheumatoid arthritis, and to examine whether therapist proficiency in MI improves over time. Methods:During a randomized controlled trial to promote PA, 27 patients received a motivational interview from one of three trained physical therapists, which was coded with the Motivational Interviewing Treatment Integrity scales (MITI). Pearson correlations examined associations between MITI scores and changes in PA and regulatory style. Linear regression examined therapist proficiency over time. Results: Motivational interviews with greater reflection-to-question ratios and higher MI proficiency scores were related to increases in PA. Motivational interviews higher in global spirit and with a greater percentage of MIadherent behaviors were associated with decreases in introjected regulation. Proficiency in MI delivery tended to improve over time. Conclusions:Characteristics of motivational interviews are related to favorable shifts in regulatory style and PA behavior. Although MI proficiency increases over time and with feedback, a 15-hour training course seems insufficient for physical therapists to obtain basic MI proficiency. Practice Implications: Providing feedback to therapists new to delivering MI seems to improve MI proficiency and should help therapists to avoid using MI-non-adherent techniques.

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“…There are even fewer studies on adherence to counseling among smoking cessation trials. Only two studies 13,30 have reported detailed analysis of adherence to counseling treatments and one of the studies demonstrated that adherence was a significant predictor to smoking cessation 30 . Adherence to treatment may be improved by identifying individual factors and tailoring treatment to the factors most likely to facilitate success among patient subgroups.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Adherence to Nicotine Gum and Counseling among African-American Light Smokers

et al. 2010

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Adherence to the principles of Motivational Interviewing, clients' characteristics and behavior outcome in a smoking cessation and relapse prevention trial in women postpartum

Cited by 43 publications

References 11 publications

Preventing postpartum smoking relapse among diverse low-income women: A randomized clinical trial

Preventing postpartum smoking relapse among diverse low-income women: A randomized clinical trial

Are Aspects of a Motivational Interview Related to Subsequent Changes in Physical Activity and Regulatory Style? Examining Relationships among Patients with Rheumatoid Arthritis

Predictors of Adherence to Nicotine Gum and Counseling among African-American Light Smokers

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