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| Name | Class |
|---|---|
| Government of Navarra | UNKNOWN |
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | MI based four individual sessions |
|
| Control group | Active Comparator | Brief advice following 5As |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational interviewing for smoking cessation in nurses | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Biochemically verified smoking cessation | Urine sample collected in nurses who self-reported being abstinent for at least one week | 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) | End of intervention (1 month) |
| Duration of sessions | Following researcher's diary records | End of intervention (1 month) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Mean cigarettes smoked | Number of cigarettes smoked | 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Agurtzane Mujika, PhD | University of Navarra | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinica Universidad de Navarra | Pamplona | Navarre | 31008 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28543954 | Background | Mujika A, Arantzamendi M, Lopez-Dicastillo O, Forbes A. Health professionals' personal behaviours hindering health promotion: A study of nurses who smoke. J Adv Nurs. 2017 Nov;73(11):2633-2641. doi: 10.1111/jan.13343. Epub 2017 Jun 21. | |
| 27880873 | Background | Duaso MJ, Bakhshi S, Mujika A, Purssell E, While AE. Nurses' smoking habits and their professional smoking cessation practices. A systematic review and meta-analysis. Int J Nurs Stud. 2017 Feb;67:3-11. doi: 10.1016/j.ijnurstu.2016.10.011. Epub 2016 Nov 2. |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| D009726 | Nurses |
| D003419 | Crisis Intervention |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
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|
| Brief advice | Behavioral | Brief advice based on 5As |
|
| 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) | 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) | Baseline, end of intervention (1 month) and 3 month follow-up |
| Changes in Depression score | Depression screening using the Patient Health Questionnaire (PHQ-9) (Kroenke et al 2001) | 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) | End of intervention (1 month) |
| 25041084 | Background | Duaso MJ, McDermott MS, Mujika A, Purssell E, While A. Do doctors' smoking habits influence their smoking cessation practices? A systematic review and meta-analysis. Addiction. 2014 Nov;109(11):1811-23. doi: 10.1111/add.12680. Epub 2014 Aug 5. |
| 24433609 | Result | Mujika A, Forbes A, Canga N, de Irala J, Serrano I, Gasco P, Edwards M. Motivational interviewing as a smoking cessation strategy with nurses: an exploratory randomised controlled trial. Int J Nurs Stud. 2014 Aug;51(8):1074-82. doi: 10.1016/j.ijnurstu.2013.12.001. Epub 2013 Dec 15. |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D006282 | Health Personnel |
| D011613 | Psychotherapy |