Examining a Smoking Cessation Program: The Impact of a Modified Motivational Interviewing Consultation Approach

Examining a Smoking Cessation Program: The Impact of a Modified Motivational Interviewing Consultation Approach.

The goal of this clinical trial is to learn if a Modified Motivational Interviewing (MMI) program can help university students quit smoking. The main questions it aims to answer are: Does the MMI program reduce physical nicotine dependence and increase motivation to quit smoking. Does the MMI program improve students' confidence and perceived importance regarding quitting smoking.

Researchers will compare a group receiving the MMI intervention to a control group (who receive no initial intervention) to see if the video-based program is an effective and cost-saving way to treat smoking behavior.

Participants will: Complete self-report surveys about their smoking habits and feelings toward quitting at the start of the study, after 8 weeks, and 3 months later.

Record two 15-minute videos per week for the first 2 weeks using a mobile phone or similar device. Record one 15-minute video per week for the next 2 weeks. Record one 15-minute video every 2 weeks for the final 4 weeks. Receive individualized feedback from researchers on the content of their videos to help guide their "change talk".Have the option to share their videos with other students in the program through a private, virtual online thread.

Study Overview

• Status: Completed
• Conditions: Smoking Cessation; Motivational Intervention
• Intervention / Treatment: Behavioral: Modified Motivational Interviewing

Detailed Description

Study OverviewThe goal of this randomized controlled trial is to evaluate the effectiveness of a Modified Motivational Interviewing (MMI) intervention specifically designed for university students who smoke. While traditional Motivational Interviewing (MI) is effective, it often requires highly skilled practitioners and significant time, making it costly and difficult to implement widely in a campus setting. This study tests a simplified, cost-effective version of the approach that uses participant-recorded videos to facilitate "change talk".The Intervention (MMI)Participants assigned to the intervention group will participate in an 8-week program. They will use their own devices, such as cell phones, to record a series of 15-minute videos. These videos focus on four specific categories of change talk:Identifying the advantages of quitting smoking.Expressing optimism about their ability to change.Stating their intentions to change their behavior.Discussing the disadvantages of their current smoking status.Researchers provide individualized feedback on each video to ensure the content aligns with these categories before the participant moves on to the next recording. Participants also have the option to share their videos within a private, virtual thread to connect with others in the intervention group.Comparison and Data Collection The study compares the intervention group to a control group that receives no intervention during the active study period. Data is collected from both groups at three distinct time points: Baseline: Before the intervention begins. Post-Intervention: Immediately following the 8-week program. Follow-up: Three months after the program has ended to assess long-term behavior change. Objectives and Measurement The primary objective is to determine if there is a statistically significant difference between the two groups regarding several key smoking-related variables. The study will measure: Physical nicotine dependence using the Fagerstrom Test. Readiness and motivation to quit smoking. Reinforcing and aversive effects of smoking via the Modified E-Cigarette Evaluation Questionnaire (MCEQ).Confidence and perceived importance of quitting smoking.

• Study Type: Interventional
• Enrollment (Actual): 200
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Jordan
  • Irbid, Jordan, 21110
    • Jordan University of Science and Technology

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Academic Enrollment: Must be an actively enrolled student at Jordan University of Science and Technology.

Active Smoking Status: Must be an active smoker.

Smoking History: Defined as a person who has smoked more than 100 cigarettes in their life and still currently smokes.

Exclusion Criteria:

Prior Intervention Experience: Having previous experience with Motivational Interviewing (MI).

Prior MMI Exposure: Having previous experience with Modified Motivational Interviewing (MMI).

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; Participants who receive the Modified Motivational Interviewing	Behavioral: Modified Motivational Interviewing; The Modified Motivational Interviewing (MMI) intervention is a self-administered, video-based program that replaces traditional, costly practitioner-led counseling. Distinguishing Features: Participant-Led "Change Talk": Students record 15-minute videos on their mobile devices focusing on four categories: advantages of quitting, optimism for change, intention to change, and status quo disadvantages. Asynchronous Feedback: Researchers provide individualized content feedback, ensuring each video meets behavioral criteria before the next is recorded. Tapered Schedule: To foster independence, frequency decreases over 8 weeks: 2 videos/week (weeks 1-2), 1 video/week (weeks 3-4), and 1 video every 2 weeks (weeks 5-8).Peer Support: Includes an optional private virtual thread for participants to share videos with others in the intervention arm.
No Intervention: Control Group; Participants who receive no intervention during the active study period but are monitored simultaneously with the intervention group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Physical Dependence on Nicotine	Fagerstrom Test for Nicotine Dependence (FTND): A 6-item scale resulting in a total score of 0-10, used to categorize dependence from "very low" to "high". with the higher score indicating more nicotine dependency	Baseline, Post-intervention (8 weeks), and 3-month follow-up.
Readiness to Quit Smoking	Readiness to change Questionnaire Treatment version (RCQ-TV): A 10-point visual analog scale (1 to 10) where higher scores indicate a greater readiness to consider or maintain smoking cessation.	Baseline, Post-intervention (8 weeks), and 3-month follow-up.
Motivation to Quit Smoking	Smoking Cessation Motivation (QMAT): A 6-item instrument measuring self-efficacy for smoking cessation on a scale of 0 to 24; higher scores indicate higher motivation and self-efficacy.	Baseline, Post-intervention (8 weeks), and 3-month follow-up.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Reinforcing and Aversive Effects of Smoking	Modified Cigarette Evaluation Questionnaire (MCEQ-11): A self-administered questionnaire assessing five subscales: Satisfaction, Psychological Reward, Enjoyment of Respiratory Tract Sensations, Craving Reduction, and Aversion. Items are scored on a 7-point Likert-like scale. The items in this measure can be answered on a Likert-like scale response options ranging from 0 (Not at all) to 6 (Extremely). The total score is calculated by summing the four subscales, with higher scores indicating greater reinforcing and aversive	Baseline, Post-intervention (8 weeks), and 3-month follow-up.
Importance of Quitting Smoking	A ruler-based question asking, "How important is it to quit smoking?" with answers ranging from 1 (no importance) to 10 (maximum importance). with higher scores indicating higher Importance.	Baseline, Post-intervention (8 weeks), and 3-month follow-up.
Confidence in Quitting Smoking	A ruler-based question asking, "How confident do you feel succeeding at quitting smoking?" with answers ranging from 1 (no confidence) to 10 (maximum confidence). with higher scores indicating higher confidence	Baseline, Post-intervention (8 weeks), and 3-month follow-up

Collaborators and Investigators

• Sponsor: Mohammed Al-Hammouri
• Collaborators: Jordan University of Science and Technology

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2025
• Primary Completion (Actual): January 11, 2026
• Study Completion (Actual): January 11, 2026

Study Registration Dates

• First Submitted: April 20, 2026
• First Submitted That Met QC Criteria: May 5, 2026
• First Posted (Actual): May 11, 2026

Study Record Updates

• Last Update Posted (Actual): May 11, 2026
• Last Update Submitted That Met QC Criteria: May 5, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Keywords: Motivational Interviewing; Smoking Cessation; Modified Motivational Interviewing
• Additional Relevant MeSH Terms: Behavior; Health Behavior; Smoking Cessation
• Other Study ID Numbers: Motivational Interviewing; 20240629 (Other Grant/Funding Number: Jordan University of Science and Technology)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

IPD Plan Description

While the proposal does not explicitly state a plan to share IPD with external researchers, it outlines strict data security protocols that suggest access is restricted to the immediate study team:

Restricted Access: The proposal states that identifiable data of the participants will be secured and only accessed by the research team.

Safety Measures: Further measures will be taken to ensure the safety of participants' data, including the use of informed consent forms before the study begins.

Institutional Ownership: According to the Intellectual Property Rights Form of Jordan University of Science and Technology, all research results and products are the property of the university.

Confidentiality: Investigators and students are required to maintain full confidentiality regarding any inventions or discoveries resulting from the research.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No