Motivational interviewing as a smoking cessation intervention for patients with cancer: Randomized controlled trial

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dc.contributor.authorWakefield, M.
dc.contributor.authorOlver, I.
dc.contributor.authorWhitford, H.
dc.contributor.authorRosenfeld, E.
dc.date.issued2004
dc.description.abstract<h4>Background</h4>Smoking cessation of patients with cancer can improve treatment efficacy and survival.<h4>Objective</h4>To determine whether a motivational interviewing intervention increased successful smoking cessation attempts of patients with cancer attending a South Australian public hospital, as compared with usual care.<h4>Methods</h4>A randomized controlled trial was used to study 137 patients with mixed cancer sites, including 74 intervention patients and 63 control patients. The motivational interviewing intervention was delivered over a 3-month period. The intervention included a visit with a smoking cessation counselor, provision of smoking cessation booklets, nicotine replacement therapy, family advice to quit, and an in-person or telephone follow-up conversation.<h4>Results</h4>At the 6-month follow-up visit, an intention-to-treat analysis found no difference in biochemically confirmed 3-month prevalence quit rates between the intervention (5%) and control (6%) groups. A sensitivity analysis using more lenient criteria indicated quit rates of 29% for the intervention group and 18% for the control group (p = .32). The predictors of smoking cessation at 6 months for all the patients included a smoking-related cancer site, more cessation attempts in the year before enrollment in the study, and no radiation therapy.<h4>Conclusions</h4>Future efforts to improve smoking cessation in this patient group might focus on the delivery of more direct methods for encouraging spouse cessation and support to the patient in quitting, and the use of bupropion (Zyban) as an adjunct to cessation for this heavy smoking patient group.
dc.identifier.citationNursing Research, 2004; 53(6):396-405
dc.identifier.doi10.1097/00006199-200411000-00008
dc.identifier.issn0029-6562
dc.identifier.issn1538-9847
dc.identifier.orcidOlver, I. [0000-0001-5478-1576]
dc.identifier.urihttp://hdl.handle.net/2440/9725
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.source.urihttps://doi.org/10.1097/00006199-200411000-00008
dc.subjectHumans
dc.subjectNeoplasms
dc.subjectTreatment Outcome
dc.subjectAftercare
dc.subjectLogistic Models
dc.subjectSensitivity and Specificity
dc.subjectFollow-Up Studies
dc.subjectSmoking
dc.subjectSmoking Cessation
dc.subjectMotivation
dc.subjectFamily
dc.subjectCounseling
dc.subjectSocial Support
dc.subjectPamphlets
dc.subjectMiddle Aged
dc.subjectHospitals, Public
dc.subjectSouth Australia
dc.subjectFemale
dc.subjectMale
dc.subjectInterviews as Topic
dc.subjectPatient Education as Topic
dc.subjectSurveys and Questionnaires
dc.subjectSmoking Prevention
dc.titleMotivational interviewing as a smoking cessation intervention for patients with cancer: Randomized controlled trial
dc.typeJournal article
pubs.publication-statusPublished

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