Colby Suzanne M, Monti Peter M, O'Leary Tevyaw Tracy, Barnett Nancy P, Spirito Anthony, Rohsenow Damaris J, Riggs Suzanne, Lewander William
Center for Alcohol and Addiction Studies, Box G-BH, Brown University, Providence, Rhode Island 02912, USA.
Addict Behav. 2005 Jun;30(5):865-74. doi: 10.1016/j.addbeh.2004.10.001. Epub 2004 Nov 10.
This study evaluated the efficacy of using a brief motivational intervention to reduce smoking among adolescent patients treated in a hospital outpatient clinic or Emergency Department. Patients aged 14-19 years (N=85) were randomly assigned to receive either one session of motivational interviewing (MI) or standardized brief advice (BA) to quit smoking. The assessment and intervention were conducted in the medical setting proximal to the patient's medical treatment. Patients were proactively screened and recruited, and were not seeking treatment for smoking. Follow-up assessments were conducted at 1, 3, and 6 months post-intervention. Self-report data indicated that 7-day abstinence rates at 6-month follow-up were significantly higher in the MI group than in the BA group, but this difference was not confirmed biochemically. Self-reported smoking rate (average cigarettes per day) was significantly lower at 1, 3, and 6 months follow-up than it was at baseline. Cotinine levels indicated reduced smoking for both groups at 6 months, but not at 1 month. At 3-month follow-up, only those in MI showed cotinine levels that were significantly reduced compared to baseline. Findings offer some support for MI for smoking reduction among non-treatment-seeking adolescents, but overall changes in smoking were small.
本研究评估了采用简短动机干预措施减少在医院门诊或急诊科接受治疗的青少年患者吸烟率的效果。年龄在14至19岁之间的患者（N = 85）被随机分配接受一次动机性访谈（MI）或标准化简短戒烟建议（BA）。评估和干预在患者接受医疗治疗的临近医疗环境中进行。患者是主动筛查和招募的，并非寻求戒烟治疗。在干预后1个月、3个月和6个月进行随访评估。自我报告数据显示，在6个月随访时，MI组的7天戒烟率显著高于BA组，但这一差异未得到生化指标的证实。在1个月、3个月和6个月随访时，自我报告的吸烟率（平均每日吸烟量）显著低于基线水平。可替宁水平显示两组在6个月时吸烟量减少，但在1个月时未减少。在3个月随访时，只有MI组的可替宁水平与基线相比显著降低。研究结果为MI对非寻求治疗的青少年减少吸烟提供了一些支持，但总体吸烟变化较小。
