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Completed

NCT Number: NCT03219060

Motivational Interviewing for Nurses' Smoking Cessation

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

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Key information

Conditions

Health Behavior Behavior Health Personnel Attitude Smoking Cessation

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Clinica Universidad de Navarra

Pamplona, Navarre, 31008, Spain

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Nurses who were pregnant

Treatment and study plan

Motivational interviewing for smoking cessation in nurses

Behavioral

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.

Brief Advice

Behavioral

Brief advice based on 5As

Primary outcomes

  1. 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

  2. Participant satisfaction

    Time frame: End of intervention (1 month)

    Client Satisfaction Questionnaire (CHQ-8) (Roberts et al 1984)

  3. Duration of sessions

    Time frame: End of intervention (1 month)

    Following researcher's diary records

Secondary outcomes

  1. Changes in Mean cigarettes smoked

    Time frame: Baseline, end of intervention (1 month) and 3 month follow-up

    Number of cigarettes smoked

  2. 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)

  3. 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)

  4. 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)

  5. 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)

  6. 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)

Sponsors and collaborators

Lead sponsor

Clinica Universidad de Navarra, Universidad de Navarra

Other

Collaborators

  • Government of Navarra

Registry information

Official study title

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

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
Jul 17, 2017
Registry last updated
Jul 17, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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