Population-based smoking cessation in women post partum: adherence to motivational interviewing in relation to client characteristics and behavioural outcomes.
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.
Thyrian
Jochen René
JR
Institute for Community Medicine, Department of Community Health, Ernst-Moritz-Arndt-University Greifswald, Ellernholzstr. 1-2, 17489 Greifswald, Germany. thyrian@uni-greifswald.de
Freyer-Adam
Jennis
J
Hannöver
Wolfgang
W
Röske
Kathrin
K
Mentzel
Franziska
F
Kufeld
Claudia
C
Bischof
Gallus
G
Rumpf
Hans-Jürgen
HJ
John
Ulrich
U
Hapke
Ulfert
U
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