Motivational Interviewing Compared to Psychoeducation for Smoking Precontemplators With SMI

Not Applicable

Completed

• Conditions: Nicotine Dependence
• Interventions: Other: Motivational Interviewing; Other: Psychoeducation

• Registration Number: NCT01982617
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

The investigators primary hypothesis was that recipients of the Motivational Interviewing intervention would be significantly more likely than those assigned to the Psychoeducation intervention to demonstrate increased readiness to quit smoking at the end of the intervention and to seek smoking cessation treatment in the one month period following the intervention. We also predicted that the Psychoeducation intervention would result in greater improvements in smoking knowledge.

Detailed Description

Not available

Study Timeline

• Study Start: 2003-01
• Primary Completion: 2013-01
• Study Completion: 2013-01
• Status Verified: 2013-11
• Study First Submitted: 2013-11-06
• Study First Submitted QC: 2013-11-12
• Last Update Submitted: 2013-11-12
• Study First Posted: 2013-11-13
• Last Update Posted: 2013-11-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

• 18-65 years of age
• Had a diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or chronic major depressive disorder by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria
• Smoked at least 10 cigarettes per day
• At baseline, reported not being ready to quit smoking within the next 30 days (i.e., in precontemplation or contemplation stages).

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Motivational Interviewing	Motivational Interviewing	The Cognitive Behavioral Therapy/Motivational Interviewing group consisted of four group sessions focused on using motivational interviewing to enhance motivation to quit smoking and on presenting cognitive-behavioral techniques for preparing to cut down or quit smoking. The following four topics were covered in this program: 1) Positive and Negative Aspects of Smoking, 2) Concerns and Hopes about Cutting Down or Quitting, 3) Small Changes that Can Help You Get Motivated, and 4) Planning for the Future.
Psychoeducation	Psychoeducation	The education group also consisted of four group sessions that were co-led by a doctoral-level clinical psychologist and at bachelors-level research assistant. However, the focus of the education group was to present factual information about health risks of smoking, benefits of quitting, pharmacological smoking cessation aides, and smoking cessation programs in the area. The four group topics included: 1) Health Risks of Smoking, 2) Benefits of Quitting, 3) Nicotine Replacement Therapy and Bupropion (Zyban), and 4) Options for Treatment Programs.

Primary Outcome Measures

Name	Time	Method
Readiness to quit (Stage of Change)	30 days	efficacy of a cognitive behavioral therapy/motivational (MI) interviewing intervention relative to a psychoeducational (ED) intervention in terms of promoting increased readiness to quit smoking among smokers with severe mental illness who were not ready to quit.

Secondary Outcome Measures

Name	Time	Method
Smoking Knowledge	30 days	Changes in smoking knowledge obtained through cognitive behavioral therapy/motivational (MI) interviewing intervention relative to a psychoeducational (ED) intervention

Trial Locations

Locations (1)

Schizophrenia Program of the Massachusetts General Hospital, Freedom Trail Clinic, 25 Staniford St; 🇺🇸 Boston, Massachusetts, United States