title: Motivational interviewing in an ordinary clinical setting: a controlled clinical trial at the Swedish National Tobacco Quitline.
abstract: BACKGROUND
  The present study aimed to assess the effect of adding motivational interviewing (MI) to the first session of an effective smoking cessation treatment protocol in an ordinary clinical setting: the Swedish National Tobacco Quitline (SNTQ).
  
  
  METHODS
  The study was designed as a controlled clinical trial. Between September 2005 and October 2006, 772 clients accepted the invitation to participate in the study and were semi-randomised to either standard treatment (ST) or MI. The primary outcome measures were self-reported 7-day point prevalence abstinence and 6-month continuous abstinence.
  
  
  RESULTS
  At 12-month follow-up, the 772 clients were included in an intention to treat analysis. Of the clients allocated to MI, 57/296 (19%) reported 6-month continuous abstinence compared to 66/476 (14%) of the clients allocated to ST (OR 1.48, 95% CI 1.00-2.19; P=.047).
  
  
  CONCLUSIONS
  Integrating MI into a cognitive behavioural therapy-based smoking cessation counselling in an ordinary clinical setting at a tobacco quitline increased client 6-month continuous abstinence rates by 5%.
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, SE-171 76 Stockholm, Sweden. helena.lindqvist@ki.se
authors.forename: Helena
authors.initials: H
authors.lastname: Lindqvist
authors.forename: Lars G
authors.initials: LG
authors.lastname: Forsberg
authors.forename: Lisa
authors.initials: L
authors.lastname: Forsberg
authors.forename: Ingvar
authors.initials: I
authors.lastname: Rosendahl
authors.forename: Pia
authors.initials: P
authors.lastname: Enebrink
authors.forename: Asgeir R
authors.initials: AR
authors.lastname: Helgason
mesh_terms: D000328:Adult; D016739:Behavior, Addictive / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D057566:Self Report; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D013548:Sweden; D016896:Treatment Outcome