Motivational interviewing with personalized feedback: a brief intervention for motivating smokers with schizophrenia to seek treatment for tobacco dependence.
Individuals with schizophrenia have a much higher prevalence of tobacco smoking, a lower cessation rate, and a higher incidence of tobacco-related diseases than the general population. The initial challenge has been to motivate these individuals to quit smoking. This study tested whether motivational interviewing is effective in motivating smokers with schizophrenia or schizoaffective disorder to seek tobacco dependence treatment. Participants (N = 78) were randomly assigned to receive a 1-session motivational interviewing (MI) intervention, standard psychoeducational counseling, or advice only. As hypothesized, a greater proportion of participants receiving the MI intervention contacted a tobacco dependence treatment provider (32%, 11%, and 0%, respectively) and attended the 1st session of counseling (28%, 9%. and 0%) by the 1-month follow-up as compared with those receiving comparison interventions.
Division of Addiction Psychiatry, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Piscataway, NJ 08854, USA. marc.steinberg@umdnj.edu
Marc L
ML
Steinberg
Douglas M
DM
Ziedonis
Jonathan A
JA
Krejci
Thomas H
TH
Brandon
D000328:Adult; D005246:Feedback; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D009042:Motivation; D010342:Patient Acceptance of Health Care; D011614:Psychotherapy, Brief / Q000379:methods*; D012559:Schizophrenia / Q000453:epidemiology*; D012907:Smoking / Q000453:epidemiology*; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder / Q000517:prevention & control*