Motivational Interviewing for Nurses' Smoking Cessation

July 12, 2017 updated by: Agurtzane Mujika, Clinica Universidad de Navarra, Universidad de Navarra

Motivational Interviewing as a Smoking Cessation Strategy With Nurses: an Exploratory Randomized Controlled Trial Following the MRC's Framework for Complex Interventions

This study's objective was to test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Despite the important role that health professionals have in reducing tobacco use, many have a smoking habit themselves. The prevalence of smoking is particularly high among nurses. A smoking cessation intervention for nurses who smoked, based on MI, was designed and evaluated following the UK Medical Research Council's (MRC) framework for complex interventions.

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Spain
    • Navarra
      • Pamplona, Navarra, Spain, 31008
        • Clinica Universidad de Navarra

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Nurses who were smokers
  • Nurses willing to participate in the study

Exclusion Criteria:

  • Nurses who were pregnant

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention group
MI based four individual sessions
Behavioral: Motivational interviewing for smoking cessation in nurses
Intervention, four one-to-one sessions on an approximately weekly basis, with 3 components: MI context, toolkit, and relapse prevention. The sessions were embedded in a MI context and followed two phases: exploratory and resolutive. The former explored the potential ambivalence that nurses experienced and constructed motivation for change; the latter reinforced the decision to quit and developed a change plan. Participants could choose over a range of tools: some more helpful in the exploratory phase (i.e. decisional balance sheet) and others in the resolutive phase (i.e. problem solving skills). The third component was directed at maintenance strategies. The therapy stayed with the nurses in terms of where they were in relation to they readiness for change.
Active Comparator: Control group
Brief advice following 5As
Behavioral: Brief advice
Brief advice based on 5As

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Biochemically verified smoking cessation
Time Frame: Following nurses' self-report of quitting (end of intervention (1 month) to 3 month follow-up)
Urine sample collected in nurses who self-reported being abstinent for at least one week
Following nurses' self-report of quitting (end of intervention (1 month) to 3 month follow-up)
Participant satisfaction
Time Frame: End of intervention (1 month)
Client Satisfaction Questionnaire (CHQ-8) (Roberts et al 1984)
End of intervention (1 month)
Duration of sessions
Time Frame: End of intervention (1 month)
Following researcher's diary records
End of intervention (1 month)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changes in Mean cigarettes smoked
Time Frame: Baseline, end of intervention (1 month) and 3 month follow-up
Number of cigarettes smoked
Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Stages of change
Time Frame: Baseline, end of intervention (1 month) and 3 month follow-up
Assessment of desire and readiness to quit smoking (Prochaska and Velicer, 1997)
Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Nicotine Dependence
Time Frame: Baseline, end of intervention (1 month) and 3 month follow-up
Assessment of nicotine dependence using the Fagerström Test for Nicotine Dependence (FTND) (Becoña and Vazquez, 1998)
Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Self-efficacy
Time Frame: Baseline, end of intervention (1 month) and 3 month follow-up
Assessment of general self-efficacy using GSE scale (Scholz et al, 2002)
Baseline, end of intervention (1 month) and 3 month follow-up
Changes in Depression score
Time Frame: Baseline, end of intervention (1 month) and 3 month follow-up
Depression screening using the Patient Health Questionnaire (PHQ-9) (Kroenke et al 2001)
Baseline, end of intervention (1 month) and 3 month follow-up
Adherence to MI
Time Frame: End of intervention (1 month)
Assessment of intervention fidelity and adherence to MI principles using Motivational Interviewing Treatment Integrity (MITI) Code (Moyers et al 2005)
End of intervention (1 month)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Clinica Universidad de Navarra, Universidad de Navarra

Collaborators

Government of Navarra

Investigators

  • Principal Investigator: Agurtzane Mujika, PhD, University of Navarra

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 1, 2010

Primary Completion (Actual)

July 1, 2011

Study Completion (Actual)

July 1, 2011

Study Registration Dates

First Submitted

July 10, 2017

First Submitted That Met QC Criteria

July 12, 2017

First Posted (Actual)

July 17, 2017

Study Record Updates

Last Update Posted (Actual)

July 17, 2017

Last Update Submitted That Met QC Criteria

July 12, 2017

Last Verified

July 1, 2017

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Pending (Other Identifier: Pending)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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