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在一项产后女性戒烟及预防复吸试验中，对动机性访谈原则的坚持、客户特征与行为结果

Adherence to the principles of Motivational Interviewing, clients' characteristics and behavior outcome in a smoking cessation and relapse prevention trial in women postpartum.

作者信息

Thyrian Jochen René, Freyer-Adam Jennis, Hannöver Wolfgang, Röske Kathrin, Mentzel Franziska, Kufeld Claudia, Bischof Gallus, Rumpf Hans-Jürgen, John Ulrich, Hapke Ulfert

机构信息

Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University of Greifswald, Walther-Rathenau-Str. 48, 17489 Greifswald, Germany.

出版信息

Addict Behav. 2007 Oct;32(10):2297-303. doi: 10.1016/j.addbeh.2007.01.024. Epub 2007 Jan 23.

DOI:10.1016/j.addbeh.2007.01.024
PMID:17307300
Abstract

OBJECTIVES

  1. Quantitative description of the adherence to the principles of Motivational Interviewing (MI) in smoking counseling sessions, 2. Examination of the relation between clients' characteristics and the adherence to the principles of MI, and between adherence to the principles of MI and future smoking status.

METHODS

A sample of n=163 sessions conducted during a randomized controlled trial in testing the effectiveness of a population-based smoking intervention in women postpartum was investigated. Demographic and behavior-related variables were included in a logistic regression to predict adherence to MI. Adherence was measured using the Motivational Interviewing Treatment Integrity (MITI) scale.

RESULTS

Of the sessions, 49.4% showed good adherence to MI. The OR of receiving a good MI session was 3.1 for non-smokers in comparison to daily smokers. No other demographic or behavioral variable gained statistical significance. The relation between adherence and intervention outcome after 6 months was statistically significant (chi(2)=6.459, p<0.05).

CONCLUSIONS

This intervention study shows a satisfactory degree of adherence to and the effectiveness of MI. MI-adherence seems more likely in sessions concerned with smoking relapse prevention compared to smoking cessation sessions.

摘要

目标

  1. 对吸烟咨询会话中遵循动机性访谈（MI）原则的情况进行定量描述；2. 考察服务对象特征与遵循MI原则之间的关系，以及遵循MI原则与未来吸烟状况之间的关系。

方法

对一项随机对照试验期间进行的n = 163次会话样本进行了调查，该试验旨在测试一项基于人群的产后女性吸烟干预措施的有效性。人口统计学和行为相关变量被纳入逻辑回归模型，以预测对MI的遵循情况。使用动机性访谈治疗完整性（MITI）量表来衡量遵循情况。

结果

在这些会话中，49.4%对MI表现出良好的遵循。与每日吸烟者相比，非吸烟者接受良好MI会话的比值比为3.1。没有其他人口统计学或行为变量具有统计学意义。6个月后遵循情况与干预结果之间的关系具有统计学意义（χ² = 6.459，p < 0.05）。

结论

这项干预研究表明对MI的遵循程度令人满意且MI有效。与戒烟会话相比，在预防吸烟复发的会话中似乎更有可能遵循MI。

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