Motivational interviewing versus brief advice for cigarette smokers in residential alcohol treatment

Damaris J. Rohsenow; Rosemarie A. Martin; Peter M. Monti; Suzanne M. Colby; Anne M. Day; David B. Abrams; Alan D. Sirota; Robert M. Swift

doi:10.1016/j.jsat.2013.10.002

Motivational interviewing versus brief advice for cigarette smokers in residential alcohol treatment

Damaris J. Rohsenow, Rosemarie A. Martin, Peter M. Monti, Suzanne M. Colby, Anne M. Day, David B. Abrams, Alan D. Sirota, Robert M. Swift

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

Residential treatment for substance use disorders (SUD) provides opportunity for smoking intervention. A randomized controlled trial compared: (1) motivational interviewing (MI) to brief advice (BA), (2) in one session or with two booster sessions, for 165 alcoholics in SUD treatment. All received nicotine replacement (NRT). MI and BA produced equivalent confirmed abstinence, averaging 10% at 1. month, and 2% at 3, 6 and 12. months. However, patients with more drug use pretreatment (>. 22. days in 6. months) given BA had more abstinence at 12. months (7%) than patients in MI or with less drug use (all 0%). Boosters produced 16-31% fewer cigarettes per day after BA than MI. Substance use was unaffected by treatment condition or smoking cessation. Motivation to quit was higher after BA than MI. Thus, BA plus NRT may be a cost-effective way to reduce smoking for alcoholics with comorbid substance use who are not seeking smoking cessation.

Original language	English (US)
Pages (from-to)	346-355
Number of pages	10
Journal	Journal of Substance Abuse Treatment
Volume	46
Issue number	3
DOIs	https://doi.org/10.1016/j.jsat.2013.10.002
State	Published - Mar 2014
Externally published	Yes

Keywords

Alcoholics
Brief advice
Motivational interviewing
Smoking cessation
Substance abuse

ASJC Scopus subject areas

Phychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1016/j.jsat.2013.10.002

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title = "Motivational interviewing versus brief advice for cigarette smokers in residential alcohol treatment",

abstract = "Residential treatment for substance use disorders (SUD) provides opportunity for smoking intervention. A randomized controlled trial compared: (1) motivational interviewing (MI) to brief advice (BA), (2) in one session or with two booster sessions, for 165 alcoholics in SUD treatment. All received nicotine replacement (NRT). MI and BA produced equivalent confirmed abstinence, averaging 10% at 1. month, and 2% at 3, 6 and 12. months. However, patients with more drug use pretreatment (>. 22. days in 6. months) given BA had more abstinence at 12. months (7%) than patients in MI or with less drug use (all 0%). Boosters produced 16-31% fewer cigarettes per day after BA than MI. Substance use was unaffected by treatment condition or smoking cessation. Motivation to quit was higher after BA than MI. Thus, BA plus NRT may be a cost-effective way to reduce smoking for alcoholics with comorbid substance use who are not seeking smoking cessation.",

keywords = "Alcoholics, Brief advice, Motivational interviewing, Smoking cessation, Substance abuse",

author = "Rohsenow, {Damaris J.} and Martin, {Rosemarie A.} and Monti, {Peter M.} and Colby, {Suzanne M.} and Day, {Anne M.} and Abrams, {David B.} and Sirota, {Alan D.} and Swift, {Robert M.}",

note = "Funding Information: This study was supported by a grant from the National Institute of Alcohol Abuse and Alcoholism (1 RO1 AA11318) and by two Senior Research Career Scientist Awards from the United States Department of Veterans Affairs. ",

year = "2014",

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doi = "10.1016/j.jsat.2013.10.002",

language = "English (US)",

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AU - Rohsenow, Damaris J.

AU - Martin, Rosemarie A.

AU - Monti, Peter M.

AU - Colby, Suzanne M.

AU - Day, Anne M.

AU - Abrams, David B.

AU - Sirota, Alan D.

AU - Swift, Robert M.

N1 - Funding Information: This study was supported by a grant from the National Institute of Alcohol Abuse and Alcoholism (1 RO1 AA11318) and by two Senior Research Career Scientist Awards from the United States Department of Veterans Affairs.

PY - 2014/3

Y1 - 2014/3

N2 - Residential treatment for substance use disorders (SUD) provides opportunity for smoking intervention. A randomized controlled trial compared: (1) motivational interviewing (MI) to brief advice (BA), (2) in one session or with two booster sessions, for 165 alcoholics in SUD treatment. All received nicotine replacement (NRT). MI and BA produced equivalent confirmed abstinence, averaging 10% at 1. month, and 2% at 3, 6 and 12. months. However, patients with more drug use pretreatment (>. 22. days in 6. months) given BA had more abstinence at 12. months (7%) than patients in MI or with less drug use (all 0%). Boosters produced 16-31% fewer cigarettes per day after BA than MI. Substance use was unaffected by treatment condition or smoking cessation. Motivation to quit was higher after BA than MI. Thus, BA plus NRT may be a cost-effective way to reduce smoking for alcoholics with comorbid substance use who are not seeking smoking cessation.

AB - Residential treatment for substance use disorders (SUD) provides opportunity for smoking intervention. A randomized controlled trial compared: (1) motivational interviewing (MI) to brief advice (BA), (2) in one session or with two booster sessions, for 165 alcoholics in SUD treatment. All received nicotine replacement (NRT). MI and BA produced equivalent confirmed abstinence, averaging 10% at 1. month, and 2% at 3, 6 and 12. months. However, patients with more drug use pretreatment (>. 22. days in 6. months) given BA had more abstinence at 12. months (7%) than patients in MI or with less drug use (all 0%). Boosters produced 16-31% fewer cigarettes per day after BA than MI. Substance use was unaffected by treatment condition or smoking cessation. Motivation to quit was higher after BA than MI. Thus, BA plus NRT may be a cost-effective way to reduce smoking for alcoholics with comorbid substance use who are not seeking smoking cessation.

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KW - Substance abuse

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Motivational interviewing versus brief advice for cigarette smokers in residential alcohol treatment

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Keywords

ASJC Scopus subject areas

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