title: Population-based smoking cessation in women post partum: adherence to motivational interviewing in relation to client characteristics and behavioural outcomes.
abstract: OBJECTIVE
  quantitative description of adherence to motivational interviewing (MI) in smoking cessation sessions; and examination of the relationships between client characteristics and adherence to MI, and between adherence to MI and future smoking status.
  
  
  METHODS
  84 sessions were conducted during a randomised controlled trial to test the effectiveness of a population-based smoking intervention in women during the postpartum period. Demographic and behaviour-related variables were included in a logistic regression to predict adherence to MI.
  
  
  METHODS
  adherence was measured using the MI Treatment Integrity Scale.
  
  
  RESULTS
  38.1% of sessions showed good adherence to MI. Receiving a good MI session was not related to any demographic or behavioural variables. The relationship between adherence and intervention outcome after six months was not statistically significant (chi(2)=0.355, p=0.551).
  
  
  CONCLUSIONS
  the smoking cessation sessions examined in this study failed to adhere to MI. There was no relationship between adherence to MI and behavioural outcome six months after the intervention, indicating that women who smoke post partum may be a high-risk group for whom specific smoking cessation interventions need to be developed.
authors.affiliation: Institute for Community Medicine, Department of Community Health, Ernst-Moritz-Arndt-University Greifswald, Ellernholzstr. 1-2, 17489 Greifswald, Germany. thyrian@uni-greifswald.de
authors.forename: Jochen René
authors.initials: JR
authors.lastname: Thyrian
authors.forename: Jennis
authors.initials: J
authors.lastname: Freyer-Adam
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hannöver
authors.forename: Kathrin
authors.initials: K
authors.lastname: Röske
authors.forename: Franziska
authors.initials: F
authors.lastname: Mentzel
authors.forename: Claudia
authors.initials: C
authors.lastname: Kufeld
authors.forename: Gallus
authors.initials: G
authors.lastname: Bischof
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Rumpf
authors.forename: Ulrich
authors.initials: U
authors.lastname: John
authors.forename: Ulfert
authors.initials: U
authors.lastname: Hapke
mesh_terms: D000328:Adult; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D009042:Motivation; D010349:Patient Compliance / Q000706:statistics & numerical data*; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D020377:Self Efficacy; D016540:Smoking Cessation / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult