The efficacy of motivational interviewing versus brief advice for adolescent smoking behavior change.

Abstract:

OBJECTIVE:In this study we sought to evaluate the efficacy of motivational interviewing (MI) compared with structured brief advice (SBA) for adolescent smoking behavior change. METHODS:Participants (N=355) were randomly assigned to 5 sessions of either MI or SBA. The primary outcomes were attempts to reduce and to quit smoking, smoking reduction, and cotinine-validated 7-day point-prevalence smoking abstinence at the end of treatment (week 12) and the 24-week follow-up. RESULTS:White adolescents were ∼80% less likely to attempt to cut back (odds ratio [OR]: 0.21; confidence interval [CI]: 0.08-0.53) and >80% less likely to attempt to quit smoking compared with black adolescents (OR: 0.17 [CI: 0.06-0.46]). Adolescents who were at least planning to cut back or quit smoking at baseline were almost 3 times more likely to attempt to cut back (OR: 2.87 [CI: 1.26-6.52]) and to attempt to quit smoking (OR: 3.13 [CI: 1.19-8.26]). Adolescents who received MI were ∼60% less likely than adolescents who received SBA to try to quit smoking (OR: 0.41 [CI: 0.17-0.97]). However, adolescents who received MI showed a greater reduction in cigarettes smoked per day than adolescents who received SBA (5.3 vs 3.3 fewer cigarettes per day). There were no statistically significant differences between MI and SBA in smoking abstinence (5.7% vs 5.6%, respectively). CONCLUSIONS:The effects of MI on adolescent smoking behavior change are modest, and MI may best fit within a multicomponent smoking cessation treatment approach in which behavior change skills can support and promote smoking behavior change decisions.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Audrain-McGovern J,Stevens S,Murray PJ,Kinsman S,Zuckoff A,Pletcher J,Moss D,Baumritter A,Kalkhuis-Beam S,Carlson E,Rodriguez D,Wileyto EP

doi

10.1542/peds.2010-2174

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

e101-11

issue

1

eissn

0031-4005

issn

1098-4275

pii

peds.2010-2174

journal_volume

128

pub_type

杂志文章,随机对照试验
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    authors: Brousseau DC,Hoffmann RG,Nattinger AB,Flores G,Zhang Y,Gorelick M

    更新日期:2007-06-01 00:00:00

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    doi:10.1542/peds.103.4.703

    authors: Mohle-Boetani JC,Lieu TA,Ray GT,Escobar G

    更新日期:1999-04-01 00:00:00

  • Sleep duration and adolescent obesity.

    abstract:OBJECTIVES:Short sleep has been associated with adolescent obesity. Most studies used a cross-sectional design and modeled BMI categories. We sought to determine if sleep duration was associated with BMI distribution changes from age 14 to 18. METHODS:Adolescents were recruited from suburban high schools in Philadelph...

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    authors: Mitchell JA,Rodriguez D,Schmitz KH,Audrain-McGovern J

    更新日期:2013-05-01 00:00:00

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    abstract::The collaborative national survey on morbidity and mortality in preterm and small for gestational age infants in the Netherlands enrolled initially 1338 infants born in 1983. The relationship between maximal serum total bilirubin concentration in the neonatal period and neurodevelopmental outcome in the survivors of t...

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    doi:

    authors: van de Bor M,Ens-Dokkum M,Schreuder AM,Veen S,Brand R,Verloove-Vanhorick SP

    更新日期:1992-03-01 00:00:00

  • An overview of the effects of dietary fiber on gastrointestinal transit.

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    pub_type: 杂志文章,评审

    doi:

    authors: Hillemeier C

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    abstract:OBJECTIVES:To examine whether maternal prenatal lifestyle factors were associated with the risk of hospitalization with infectious disease during early childhood and whether a possible association was modified by fetal growth reduction. METHODS:The study was based on a birth cohort of 10 400 newborns whose mothers att...

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    doi:

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    更新日期:2013-06-01 00:00:00

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    pub_type: 杂志文章

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    journal_title:Pediatrics

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    doi:10.1542/peds.107.2.e26

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    更新日期:2001-02-01 00:00:00

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    abstract::Violence in screen entertainment media (ie, television, film, video games, and the Internet), defined as depictions of characters (or players) trying to physically harm other characters (or players), is ubiquitous. The Workgroup on Media Violence and Violent Video Games reviewed numerous meta-analyses and other releva...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

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    pub_type: 杂志文章,多中心研究

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