title: Integrating Motivational Interviewing Into a Home Telehealth Program for Veterans With Posttraumatic Stress Disorder Who Smoke: A Randomized Controlled Trial.
abstract: OBJECTIVE
  We evaluated integrating a motivational interviewing (MI)-based smoking cessation curricula and MI counseling into a posttraumatic stress disorder (PTSD) home telehealth care management program to determine if smoking behaviors improved.
  
  
  METHODS
  We randomized 178 Veterans with PTSD to a 90-session MI-based home telehealth program or to usual care. Outcome measures included self-reported 24-hour quit attempts, seven-day point prevalence abstinence, progression along the stages of change, and mental health symptoms.
  
  
  RESULTS
  Favorable smoking cessation rates were observed in both groups. There was no statistical difference in self-reported 24-hour quit attempts, seven-day point prevalence smoking abstinence or progression along the stages of change. The intervention group showed improved depression and PTSD symptoms.
  
  
  CONCLUSIONS
  Integrating MI-based smoking cessation treatment into PTSD home telehealth is an effective method to help Veterans with PTSD quit smoking. Further research is needed to understand how to optimize MI integration into home telehealth to achieve sustained smoking cessation rates.
authors.affiliation: Eastern Colorado Health Care System.|University of Colorado Denver.
authors.forename: Catherine
authors.initials: C
authors.lastname: Battaglia
authors.affiliation: Eastern Colorado Health Care System.
authors.forename: Jamie
authors.initials: J
authors.lastname: Peterson
authors.affiliation: Eastern Colorado Health Care System.
authors.forename: Emily
authors.initials: E
authors.lastname: Whitfield
authors.affiliation: University of Colorado Denver.
authors.forename: Sung-Joon
authors.initials: SJ
authors.lastname: Min
authors.affiliation: Mental Health Partners.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Benson
authors.affiliation: Eastern Colorado Health Care System.|University of Colorado Denver.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Maddox
authors.affiliation: Eastern Colorado Health Care System.|University of Colorado Denver.
authors.forename: Allan V
authors.initials: AV
authors.lastname: Prochazka
mesh_terms: D000328:Adult; D000368:Aged; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D017063:Outcome Assessment, Health Care; D016540:Smoking Cessation / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*
keywords: motivational interviewing; posttraumatic stress disorder; smoking cessation; telehealth