Motivational Interviewing as a Smoking Cessation Intervention for Patients With Cancer

Wakefield, Melanie; Olver, Ian; Whitford, Hayley S.; Rosenfeld, Ellie

doi:10.1097/00006199-200411000-00008

Cited by 76 publications

(90 citation statements)

References 17 publications

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“…Ten RCTs 5,15,16,[66][67][68][69][70][71][72] and 3 PC studies 21,73,74 met the inclusion criteria (Figure 1).…”

Section: Literature Searchmentioning

confidence: 99%

“…Published studies ( Table 1) were single-center 15,16,21,66,[68][69][70]72,73 or multicenter. 4,5,67 There were a total of 1301 patients.…”

Section: Trial Characteristicsmentioning

confidence: 99%

“…The group with the shorter follow-up period (n = 6) had a mean follow-up of 5 weeks, 15,21,66,[68][69][70][71][72][73][74] and the longer follow-up group (n = 7) was followed for at least 6 months. 4,5,16,67 In the second group, pooled rates were calculated from the 6-month abstinence rates in all studies except 1, 4 which reported a 12-month rate ( Table 4).…”

Section: Tobacco Cessation Rates and Follow-upmentioning

confidence: 99%

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Smoking Cessation Interventions and Cessation Rates in the Oncology Population: An Updated Systematic Review and Meta‐Analysis

Nayan

Gupta

Strychowsky

et al. 2013

Otolaryngol.--head neck surg.

106

107

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Objectives. To evaluate tobacco smoking cessation interventions and cessation rates in the oncology population through a systematic review and meta-analysis.Data Sources. The literature was searched using PubMed, Google Scholar, Medline, EMBASE, and the Cochrane Library (inception to October 2012) by 3 independent review authors.Review Methods. Studies were included if they were randomized controlled trials (RCTs) or prospective cohort (PCs) studies evaluating tobacco smoking cessation interventions with patients assigned to a usual care or an intervention group. The primary outcome measure was smoking cessation rates. Two authors extracted data independently for each study. When applicable, disagreements were resolved by consensus.Results. The systematic review identified 10 RCTs and 3 PCs. Statistical analysis was conducted using StatsDirect software (Cheshire, UK). Pooled odds ratios (ORs) for smoking cessation interventions were calculated in 2 groups based on follow-up duration. The therapeutic interventions included counseling, nicotine replacement therapy, buproprion, and varenicline. Smoking cessation interventions had a pooled odds ratio of 1.54 (95% confidence interval [CI], 0.909-2.64) for patients in the shorter follow-up group and 1.31 (95% CI, 0.931-1.84) in the longer follow-up group. Smoking cessation interventions in the perioperative period had a pooled odds ratio of 2.31 (95% CI, 1.32-4.07). Conclusion.Our systematic review and meta-analysis demonstrate that tobacco cessation interventions in the oncology population, in both the short-term and long-term follow-up groups, do not significantly affect cessation rates. The perioperative period, though, may represent an important teachable moment with regard to smoking cessation. C igarette smoking and alcohol consumption synergistically increase the risk of developing squamous cell carcinoma of the head and neck.1,2 Tobacco carcinogens also further advance the molecular progression of squamous cell carcinomas of the head and neck.1,2 Cigarette smoking has been related to approximately 90% of diagnoses of lung cancer in countries with a high prevalence of smoking. Furthermore, the increased incidence of lung cancer from smoking is proportional to the length and intensity of smoking history.3 Smoking cessation is particularly important for patients who have smoking-related cancers, such as head and neck or lung cancer. 3,4 Persistent tobacco smoking in the oncology population has a multitude of adverse effects during the treatment of the malignancy, increases the risk of a recurrence or a second primary tumor, and reduces survival. 5,6 These risks are particularly apparent in patients with head and neck or lung cancer. Cigarette smoking also increases the perioperative risks of general anesthesia, poor wound healing, and cardiovascular events. 7-9490886O TOXXX10

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“…Ten RCTs 5,15,16,[66][67][68][69][70][71][72] and 3 PC studies 21,73,74 met the inclusion criteria (Figure 1).…”

Section: Literature Searchmentioning

confidence: 99%

“…Published studies ( Table 1) were single-center 15,16,21,66,[68][69][70]72,73 or multicenter. 4,5,67 There were a total of 1301 patients.…”

Section: Trial Characteristicsmentioning

confidence: 99%

Section: Tobacco Cessation Rates and Follow-upmentioning

confidence: 99%

See 1 more Smart Citation

Smoking Cessation Interventions and Cessation Rates in the Oncology Population: An Updated Systematic Review and Meta‐Analysis

Nayan

Gupta

Strychowsky

et al. 2013

Otolaryngol.--head neck surg.

106

107

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“…Currently, MI as a smoking cessation intervention shows mixed results. While MI shows some promise with adult dependent smokers in primary care (Soria et al 2006) and postpartum women (Thyrian et al 2007), it did not increase quitting among low-income housing residents (Okuyemi et al 2007), cancer patients offered NRT (Wakefield et al 2004), nor pregnant smokers receiving home-based midwife care (Tappin et al 2000). However, these studies (with the exception of Wakefield) used MI alone rather than paired with NRT.…”

Section: Introductionmentioning

confidence: 99%

A Test of Motivational Plus Nicotine Replacement Interventions for HIV Positive Smokers

2007

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The purpose of this study was to test two combination motivational plus pharmacological interventions for smoking cessation among HIV positive smokers. Participants were 40 adults receiving HIV care who smoked daily reporting interest in smoking reduction. Measures were administered at baseline, 1-month, and 3-month follow-ups. Participants were randomly assigned to self-guided reading plus nicotine patch (n = 18) or motivational interviewing plus nicotine patch (n = 22). Groups did not differ at 3 months on biochemically-verified abstinence. The sample reduced cigarettes per day by half a pack and the percent of smoking days by 41%, and 22% were abstinent at 3-month follow-up. Compliance with the nicotine patch was poor and declined over time, but patch use was unrelated to carbon monoxide level at 3-month follow-up. Smoking cessation interventions for people with HIV can be helpful and should include components that encourage some smoke-free days, increase self-efficacy, and attend to adherence to nicotine replacement treatment.

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“…Women who received reminder calls were more likely to get a mammogram than women who were mailed postcards; the motivational and reminder calls had equivalent effects. Other publications addressing the use of motivational interventions (not necessarily MI) for cancer related behaviors include [12], [13], [14], and [15].…”

Section: Introductionmentioning

confidence: 99%

Motivational interviewing and colorectal cancer screening: A peek from the inside out

Wahab

Menon

Szalacha

2008

Patient Education and Counseling

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Objective-This article focuses on design, training, and delivery of MI in a longitudinal randomized controlled trial intended to assess the efficacy of two separate interventions designed to increase colorectal screening when compared to a usual care, control group. One intervention was a singlesession, telephone-based motivational interview (MI), created to increase colorectal cancer screening within primary care populations. The other was tailored health counseling. We present the rationale, design, and process discussions of the one-time motivational interview telephone intervention. We discuss in this paper the training and supervision of study interventionists, in order to enhance practice and research knowledge concerned with fidelity issues in motivational interview interventions.Methods-To improve motivational interview proficiency and effectiveness, we developed a prescribed training program adapting MI to a telephone counseling session.Results-The four interventionists trained in MI demonstrate some MI proficiency assessed by the Motivational Interviewing Treatment Integrity Scale. In the post-intervention interview, 20.5% of the MI participants reported having had a CRC screening test, and another 19.75% (n = 16) had scheduled a screening test. Almost half of the participants (43%) indicated that the phone conversation helped them to overcome the reasons why they had not had a screening test.Conclusions-Ongoing supervision and training (post MI workshop) are crucial to supporting MI fidelity. The trajectory of learning MI demonstrated by the interventionists is consistent with the eight stages of learning MI. The MI roadmap created for the interventionists has shown to be more of a distraction than a facilitator in the delivery of the telephone intervention. MI can, however, be considered a useful tool for health education and warrants further study.Practice Implications-MI training should include consistent training and process evaluation. MI can, however, be considered a useful tool for health education and warrants further study. MI can also be adapted to diverse health promotion scenarios.

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Motivational Interviewing as a Smoking Cessation Intervention for Patients With Cancer

Abstract: Future efforts to improve smoking cessation in this patient group might focus on the delivery of more direct methods for encouraging spouse cessation and support to the patient in quitting, and the use of bupropion (Zyban) as an adjunct to cessation for this heavy smoking patient group.

Cited by 76 publications

References 17 publications

Smoking Cessation Interventions and Cessation Rates in the Oncology Population: An Updated Systematic Review and Meta‐Analysis

Smoking Cessation Interventions and Cessation Rates in the Oncology Population: An Updated Systematic Review and Meta‐Analysis

A Test of Motivational Plus Nicotine Replacement Interventions for HIV Positive Smokers

Motivational interviewing and colorectal cancer screening: A peek from the inside out

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