The HYP program-targeted motivational interviewing for adolescent violations of school tobacco policy.
OBJECTIVE
To evaluate the efficacy of a short-term tobacco-focused intervention for high school students referred by school administrators because of tobacco use.


METHODS
A sample of 56 adolescents (66% male, mean age 15 years) was recruited through referrals from three state high schools. Participants were randomly assigned to a one-hour motivational interview (MI) session or to standard care (advice/education). The two groups were followed up at one, three, and six-month intervals.


RESULTS
The MI intervention resulted in significant short-term reductions in quantity and frequency of smoking relative to standard care, however, effects were not maintained at 3- and 6-month follow-up. Improvements in refusal self-efficacy were significant relative to standard care.


CONCLUSIONS
For adolescents who are established smokers and at high risk of other problems, motivational interviewing was associated with modest short-term gains relative to standard care.
Kelly
Adrian B
AB
School of Social Science, The University of Queensland, Michie Building, St Lucia 4072, Australia. a.kelly@uq.edu.au
Lapworth
Kely
K
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods; D003376:Counseling / Q000379:methods; D005260:Female; D006266:Health Education; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D009042:Motivation; D016134:Organizational Policy; D015397:Program Evaluation; D011793:Queensland; D012572:School Health Services; D012574:Schools / Q000458:organization & administration*; D020377:Self Efficacy; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data; D000074606:Smoking Prevention