Health Behavior, Health Personnel Attitude, Smoking Cessation
Conditions
Keywords
Cognitive dissonance, Motivational interviewing, Health Professional role, Nurses, Health Promotion, Lifestyle, Smoking cessation
Brief summary
This study's objective was to test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses.
Detailed description
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.
Interventions
BEHAVIORALMotivational interviewing for smoking cessation in nurses
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.
BEHAVIORALBrief advice
Brief advice based on 5As
Sponsors
Government of Navarra
Clinica Universidad de Navarra, Universidad de Navarra
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Nurses who were smokers * Nurses willing to participate in the study
Exclusion criteria
* Nurses who were pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Biochemically verified smoking cessation | Following nurses' self-report of quitting (end of intervention (1 month) to 3 month follow-up) | Urine sample collected in nurses who self-reported being abstinent for at least one week |
| Participant satisfaction | End of intervention (1 month) | Client Satisfaction Questionnaire (CHQ-8) (Roberts et al 1984) |
| Duration of sessions | End of intervention (1 month) | Following researcher's diary records |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Self-efficacy | Baseline, end of intervention (1 month) and 3 month follow-up | Assessment of general self-efficacy using GSE scale (Scholz et al, 2002) |
| Changes in Mean cigarettes smoked | Baseline, end of intervention (1 month) and 3 month follow-up | Number of cigarettes smoked |
| Adherence to MI | End of intervention (1 month) | Assessment of intervention fidelity and adherence to MI principles using Motivational Interviewing Treatment Integrity (MITI) Code (Moyers et al 2005) |
| Changes in Depression score | Baseline, end of intervention (1 month) and 3 month follow-up | Depression screening using the Patient Health Questionnaire (PHQ-9) (Kroenke et al 2001) |
| Changes in Stages of change | Baseline, end of intervention (1 month) and 3 month follow-up | Assessment of desire and readiness to quit smoking (Prochaska and Velicer, 1997) |
| Changes in Nicotine Dependence | Baseline, end of intervention (1 month) and 3 month follow-up | Assessment of nicotine dependence using the Fagerström Test for Nicotine Dependence (FTND) (Becoña and Vazquez, 1998) |
Countries
Spain
Outcome results
None listed