Smoking Cessation
Conditions
Keywords
smoking cessation, telephone counselling, motivational interviewing, treatment integrity, Tobacco Smoking
Brief summary
Aim: to assess the effect of adding Motivational Interviewing (MI) to the existing smoking cessation treatment protocol at the Swedish National Tobacco Quitline (SNTQ). Methods: Experienced counsellors at SNTQ either received further training in the standard treatment (ST) protocol (including Cognitive Behavioural Therapy (CBT)) or a comprehensive regime of training in MI. 1309 clients were randomized to either the ST group or the group with MI added to the treatment protocol. In order to ensure treatment integrity among counsellors, MI skill was assessed using the Motivational Interviewing Treatment Integrity Code (MITI).
Interventions
BEHAVIORALStandard treatment
Telephone-based smoking cessation counselling based on a combination of coaching and cognitive behavioural therapy (CBT) techniques. Counsellors are also trained in giving tailored advice regarding the use of smoking cessation aids. Clients are offered a choice between reactive treatment (clients initiate all contact) and proactive treatment (counsellors call back at appointed dates). Printed information material tailored to clients' needs is offered free of charge.
BEHAVIORALMotivational Interviewing
Telephone-based smoking cessation counselling with Motivational Interviewing added to the standard treatment protocol. Clients are offered a choice between reactive treatment (clients initiate all contact) and proactive treatment (counsellors call back at appointed dates). Printed information material tailored to clients' needs is offered free of charge.
Sponsors
Region Stockholm
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clients have to express a desire for support regarding smoking cessation * Clients have to be willing to confirm their identity by answering a baseline registration questionnaire
Exclusion criteria
* Clients with obvious difficulties understanding Swedish * Clients with obvious mental impairments * Clients using tobacco products other than cigarettes (mainly smokeless tobacco, or snus)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Point prevalence abstinence | 12 months after initial contact with SNTQ | Not one puff of smoke during the previous 7 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Continuous abstinence | 12 months after initial contact with SNTQ | Not a single puff of smoke within the past six months or more |
Countries
Sweden
Outcome results
None listed