Motivational interviewing as a smoking cessation strategy with nurses: an exploratory randomised controlled trial
Agurtzane Mujika1, Angus Forbes2, Navidad Canga1
1School of Nursing, University of Navarra, Spain.
International Journal of Nursing Studies
|January 18, 2014
Summary
Motivational interviewing significantly increased smoking cessation rates among nurses. This smoking cessation intervention was found to be effective, acceptable, and feasible for healthcare professionals.
Area of Science:
- Healthcare Professionals
- Public Health
- Behavioral Science
Background:
- High smoking prevalence exists among nurses, impacting their role in tobacco use reduction.
- Addressing smoking habits in healthcare professionals is crucial for public health initiatives.
Purpose of the Study:
- To evaluate the efficacy, acceptability, and feasibility of a motivational interviewing (MI) based smoking cessation intervention tailored for nurses.
- To determine if MI can effectively support nurses in quitting smoking.
Main Methods:
- A parallel experimental design with random allocation was employed.
- Thirty nurses who smoked were randomized into an MI intervention group (n=15) or a usual care control group (n=15).
- The MI intervention involved four individual sessions; usual care included brief advice. Efficacy was assessed via biochemically verified cessation, cigarette consumption, stages of change, self-efficacy, and depression. Acceptability and feasibility were measured by participant satisfaction, adherence, and session duration. Data were collected at baseline, end of intervention, and 3-month follow-up.
Main Results:
- At 3-month follow-up, the MI group showed a significantly higher smoking cessation rate (absolute difference 33.3%) compared to the control group.
- While no significant difference in daily cigarette consumption was observed among non-quitters, the MI group demonstrated greater progress in stages of change.
- The intervention was well-received, with high participant satisfaction, attendance, and completion rates, indicating good acceptability and feasibility.
Conclusions:
- Motivational interviewing demonstrates a beneficial effect on smoking cessation rates among nurses.
- The MI intervention is acceptable and feasible for nurses, with identified areas for optimization in larger-scale implementations.
- Utilizing motivational interviewing presents a novel and promising approach to address smoking among health professionals.
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