Motivational interviewing for smoking cessation

Abstract

Motivational interviewing may assist smokers to quit. However, the results should be interpreted with caution due to variations in study quality, treatment fidelity and the possibility of publication or selective reporting bias.

Motivating Smokers in the Hospital Pulmonary Function Laboratory to Quit Smoking by Use of the Lung Age Concept

“…The current study provides support for using brief motivational interviewing (Britt, Hudson, & Blampied, 2004;Lai et al, 2010;Miller & Rollnick, 1991) in the setting of the PFT laboratory, which provides a unique opportunity to focus smoking cessation strategies on current smokers with potential lung problems. Coupling physiological feedback with motivational interviewing enhances the technique because a key component of this approach is to provide personalized feedback of risk to motivate subjects to change behavior (Borrelli et al, 2002).…”

“…Coupling physiological feedback with motivational interviewing enhances the technique because a key component of this approach is to provide personalized feedback of risk to motivate subjects to change behavior (Borrelli et al, 2002). Motivational interviewing also allows a brief intervention that is suitable to the busy practice of a PFT laboratory (Colella & Laver, 2005;Lai et al, 2010). In addition, the process takes advantage of a "teachable moment" (McBride, Emmons, & Lipkus, 2003) and utilizes the PFT technologist as a credible (Hovland & Weiss, 1952) nonphysician (Fiore et al, 2008) source of information.…”

“…Based on whether lung age was normal (forced expiratory volume in 1 s, FEV 1 ≥ 80% predicted; Hankinson, Odencrantz, & Fedan, 1999; which defined a normal lung age) or abnormal (FEV 1 < 80% predicted, which defined a high lung age), the PFT technologist then followed a standardized script to share lung function results with participants in order to enhance their motivation to quit. This process involved motivational interviewing (Lai, Cahill, Qin, & Tang, 2010) using lung age to educate the patient about the dangers of smoking, elicit feedback about motivation to quit and barriers to quitting, and provide information on strategies and resources to help quit smoking. The PFT technologist also gave participants in the intervention group the same information sheet that they gave subjects in the control group.…”

Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention

“…1 While research indicates primary care providers can be trained to enhance patients' behavioral motivation, [2][3][4][5] evidence-based methods such as motivational interviewing are broad in scope, difficult to learn, and lengthy to apply. [6][7][8][9][10][11][12][13][14] As a result, the approaches are not widely employed in practice, where primary care providers must address multiple issues in office visits, seldom limited to behavioral change. [15][16][17] There is an urgent need for effective, focused, time-efficient interviewing approaches that busy practitioners can routinely employ to motivate healthy behaviors.…”

Recomendaciones para la cesación de la adicción al tabaco en Colombia: guía de práctica clínica basada en la evidencia

“…Cuando el tiempo es corto o no se cuenta con el entrenamiento apropiado, Fiore, et al, proponen un modelo que usa componentes de la entrevista motivacional denominado el modelo de las "cinco eres" (razones para parar, riesgos por continuar fumando, recompensas al dejar de fumar, reparos o barreras para suspender y repetición del mensaje de cesación) (13,43).…”