Institute for Community Medicine, Department of Community Health, Ernst-Moritz-Arndt-University Greifswald, Ellernholzstr. 1-2, 17489 Greifswald, Germany.
Midwifery. 2010 Apr;26(2):202-10. doi: 10.1016/j.midw.2008.04.004. Epub 2008 Jul 24.
quantitative description of adherence to motivational interviewing (MI) in smoking cessation sessions; and examination of the relationships between client characteristics and adherence to MI, and between adherence to MI and future smoking status.
84 sessions were conducted during a randomised controlled trial to test the effectiveness of a population-based smoking intervention in women during the postpartum period. Demographic and behaviour-related variables were included in a logistic regression to predict adherence to MI.
adherence was measured using the MI Treatment Integrity Scale.
38.1% of sessions showed good adherence to MI. Receiving a good MI session was not related to any demographic or behavioural variables. The relationship between adherence and intervention outcome after six months was not statistically significant (chi(2)=0.355, p=0.551).
the smoking cessation sessions examined in this study failed to adhere to MI. There was no relationship between adherence to MI and behavioural outcome six months after the intervention, indicating that women who smoke post partum may be a high-risk group for whom specific smoking cessation interventions need to be developed.
定量描述戒烟疗程中对动机访谈（MI）的依从性；并检验客户特征与 MI 依从性之间的关系，以及 MI 依从性与未来吸烟状况之间的关系。
在一项随机对照试验中进行了 84 次疗程，以测试基于人群的产后妇女吸烟干预措施的有效性。将人口统计学和行为相关变量纳入逻辑回归，以预测对 MI 的依从性。
使用 MI 治疗完整性量表测量依从性。
38.1%的疗程显示出对 MI 的良好依从性。接受良好的 MI 疗程与任何人口统计学或行为变量均无关。依从性与六个月后的干预效果之间的关系没有统计学意义（chi(2)=0.355, p=0.551）。
本研究中检查的戒烟疗程未能遵循 MI。MI 的依从性与干预后六个月的行为结果之间没有关系，这表明产后吸烟的女性可能是一个高风险群体，需要为其开发特定的戒烟干预措施。
