Motivational Interviewing for Nurses' Smoking Cessation

Smoking Cessation Clinical Trial

Official title:

Motivational Interviewing as a Smoking Cessation Strategy With Nurses: an Exploratory Randomized Controlled Trial Following the MRC's Framework for Complex Interventions

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03219060
• Other study ID #: PENDING
• Status: Completed
• Phase: N/A
• First received: July 10, 2017
• Last updated: July 12, 2017
• Start date: August 2010
• Est. completion date: July 2011

Study information

• Verified date: July 2017
• Source: Clinica Universidad de Navarra, Universidad de Navarra
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study's objective was to test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: July 2011
• Est. primary completion date: July 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Nurses who were smokers

• Nurses willing to participate in the study

Exclusion Criteria:

• Nurses who were pregnant

Related Conditions & MeSH terms

• Health Behavior
• Health Personnel Attitude
• Smoking Cessation

Intervention

Behavioral:
• Motivational 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.
• Brief advice
Brief advice based on 5As

Locations

Country	Name	City	State
Spain	Clinica Universidad de Navarra	Pamplona	Navarra

Sponsors (2)

Lead Sponsor	Collaborator
Clinica Universidad de Navarra, Universidad de Navarra	Government of Navarra

Country where clinical trial is conducted

Spain, 

References & Publications (4)

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. Review. — View Citation

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. Review. — View Citation

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 May 24. doi: 10.1111/jan.13343. [Epub ahead of print] — View Citation

Mujika A, Forbes A, Canga N, de Irala J, Serrano I, Gascó 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.201 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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)
Primary	Participant satisfaction	Client Satisfaction Questionnaire (CHQ-8) (Roberts et al 1984)	End of intervention (1 month)
Primary	Duration of sessions	Following researcher's diary records	End of intervention (1 month)
Secondary	Changes in Mean cigarettes smoked	Number of cigarettes smoked	Baseline, end of intervention (1 month) and 3 month follow-up
Secondary	Changes in Stages of change	Assessment of desire and readiness to quit smoking (Prochaska and Velicer, 1997)	Baseline, end of intervention (1 month) and 3 month follow-up
Secondary	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
Secondary	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
Secondary	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
Secondary	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)