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Relational Skills and Client Language Predict Outcome in Smoking Cessation Treatment
Karolinska Institute, Sweden.
MIC Lab AB, Sweden.
Karolinska Institute, Sweden.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institute, Sweden.ORCID iD: 0000-0003-4753-6745
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2017 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 52, no 1, p. 33-42Article in journal (Refereed) Published
Abstract [en]

Background: We currently lack insight into the predictive processes of Motivational Interviewing (MI) in smoking cessation treatment. More knowledge is necessary to be able to further enhance the treatment effect in smoking cessation interventions. Objectives: To examine certain hypothesized active components of MI in smoking cessation treatment delivered in an ordinary clinical setting. Methods: Audio-recordings of 106 smoking cessation treatment sessions were analyzed using the Motivational Interviewing Sequential Code for Observing Process Exchanges (MI-SCOPE) Coders Manual and the Motivational Interviewing Treatment Integrity code (MITI) Manual, version 3.1. The outcome measure was self-reported 6-month continuous abstinence at 12-month follow-up. Results: Client Activation utterances in favor of change were positively associated with smoking cessation at follow-up. The combined category of client language expressing a Desire or a Need to continue to smoke was negatively predictive of smoking cessation. In addition, we found preliminary support for a negative interaction effect between counselors demonstration of the spirit of MI and clients Activation utterances in favor of change. Conclusions/Importance: Our data suggest that if smoking cessation counselors cultivate client Activation utterances in favor of abstinence and softening client utterances expressing desire or perceived need to smoke, this could contribute to higher rates of treatment success. In addition, counselors demonstration of the spirit of MI was a statistically significant predictor of outcome when the negative interaction effect between Activation utterances in favor of change and MI spirit was taken into account. These findings should be evaluated in larger studies in the future.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC , 2017. Vol. 52, no 1, p. 33-42
Keyword [en]
Smoking cessation; telephone counseling; motivational interviewing; therapeutic process; MI spirit; change talk; sustain talk; interaction effect
National Category
Substance Abuse
Identifiers
URN: urn:nbn:se:liu:diva-133729DOI: 10.1080/10826084.2016.1212892ISI: 000389825300004PubMedID: 27617700OAI: oai:DiVA.org:liu-133729DiVA, id: diva2:1063901
Note

Funding Agencies|Swedish Cancer Society; Stockholm County Council; Swedish Heart and Lung Association; Swedish Research Council; Swedish Council for Working Life and Social Research; Public Health Agency of Sweden

Available from: 2017-01-11 Created: 2017-01-09 Last updated: 2017-11-29

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CiteExportLink to record
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