Motivational Interviewing for Smoking Cessation Among College Students

Abstract

Journal of College Student PsychotherapyPublication details, including instructions for authors and subscription information:Motivational interviewing has shown some success as an intervention for college student cigarette smokers. We tested the efficacy and process of a two session motivational-interviewingbased smoking intervention compared to an assessment/information session. College student participants assigned to the motivational interviewing condition did not differ significantly from participants in the assessment/information condition on smoking outcome variables one month later. However, both groups reported significant decreases in self-reported smoking over time, suggesting that brief interventions for college student smoking can be efficacious. Consistent with theory, the motivational interviewing group reported a significant increase in self-efficacy over time and reported stronger perceptions of the therapeutic alliance after the first session compared to assessment/information participants.

Understanding how a smoking cessation intervention changes beliefs, self-efficacy, and intention to quit: a secondary analysis of a pragmatic randomized controlled trial

“…More specifically, MI strategies as feedback emphasise personal responsibility, and an empathetic counselling style increases self-efficacy [36]. This statement is consistent with the findings from our research, and the results of previous studies that used MI for smoking cessation in this target population [37], in diabetes patients [38], and in smoker adolescents with psychiatric disorders [39].…”

“…The control group also increases their self-efficacy to avoid smoking. These results are similar to the Brown et al [39] research in adolescent with psychiatric disorders, but contrary to the Bolger et al [37] study with college students. The principal differences of Brown et al [39] and our study with Bolger et al [37] research was that the participants in the control group received 5-10 minutes of advice to quit smoking and a self-help pamphlet whereas Bolger et al [37] provided participants with their expired CO level (score) as a motivational strategy, and information and pamphlet about smoking-related risks.…”

Two brief valid measures of therapeutic alliance in counseling for tobacco dependence

“…To address the issue of tobacco-counseling specific language, we made minimal edits to the 12-item WAI-SR, which has been widely used in psychotherapy literature as well as some smoking cessation studies (Klemperer et al, 2017; Bolger et al, 2010). In the original WAI-SR validation study (Hatcher & Gillaspy, 2006) internal consistency was high (overall α = .91-.92, subscale α = .85–.90) and confirmatory factor analysis (CFA) demonstrated acceptable model fit (χ2(51) = 128.9-137.5; CFI = .95, TLI = .94, RMSEA = .08).…”