title: Motivational interviewing versus brief advice for cigarette smokers in residential alcohol treatment.
abstract: Residential treatment for substance use disorders (SUD) provides opportunity for smoking intervention. A randomized controlled trial compared: (1) motivational interviewing (MI) to brief advice (BA), (2) in one session or with two booster sessions, for 165 alcoholics in SUD treatment. All received nicotine replacement (NRT). MI and BA produced equivalent confirmed abstinence, averaging 10% at 1 month, and 2% at 3, 6 and 12 months. However, patients with more drug use pretreatment (>22 days in 6 months) given BA had more abstinence at 12 months (7%) than patients in MI or with less drug use (all 0%). Boosters produced 16-31% fewer cigarettes per day after BA than MI. Substance use was unaffected by treatment condition or smoking cessation. Motivation to quit was higher after BA than MI. Thus, BA plus NRT may be a cost-effective way to reduce smoking for alcoholics with comorbid substance use who are not seeking smoking cessation.
authors.affiliation: Providence Veterans Affairs Medical Center, Providence, RI 02908, USA; Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. Electronic address: Damaris_Rohsenow@Brown.edu.
authors.forename: Damaris J
authors.initials: DJ
authors.lastname: Rohsenow
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
authors.forename: Rosemarie A
authors.initials: RA
authors.lastname: Martin
authors.affiliation: Providence Veterans Affairs Medical Center, Providence, RI 02908, USA; Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Monti
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Colby
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
authors.forename: Anne M
authors.initials: AM
authors.lastname: Day
authors.affiliation: Brown University Medical School, Providence, RI 02912, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Abrams
authors.affiliation: Providence Veterans Affairs Medical Center, Providence, RI 02908, USA; Brown University Medical School, Providence, RI 02912, USA.
authors.forename: Alan D
authors.initials: AD
authors.lastname: Sirota
authors.affiliation: Providence Veterans Affairs Medical Center, Providence, RI 02908, USA; Brown University Medical School, Providence, RI 02912, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Swift
mesh_terms: D000437:Alcoholism / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D009538:Nicotine / Q000008:administration & dosage; D018401:Sample Size; D016540:Smoking Cessation; D014029:Tobacco Use Disorder / Q000628:therapy*
chemical_list: D009538:Nicotine
keywords: Alcoholics; Brief advice; Motivational interviewing; Smoking cessation; Substance abuse