Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial

Detalhes bibliográficos
Autor(a) principal: Melnick,Ricardo
Data de Publicação: 2021
Outros Autores: Mendonça,Claunara Schilling, Meyer,Elisabeth, Faustino-Silva,Daniel Demétrio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000305003
Resumo: Smoking is the main cause of avoidable death and a major public health problem worldwide, with primary healthcare being a strategic setting for treating this problem. Aims: to evaluate the effectiveness of motivational interviewing associated with the cognitive behavioral therapy (CBT) in smoking groups in primary healthcare. A community-based cluster randomized clinical trial was conducted in Brazil, starting in July 2016. Professionals in the test group were trained in motivational interviewing for eight hours to associate it with the CBT. The usual treatment for smoking cessation in groups consists of four structured weekly sessions of 90 minutes each using a CBT. Taylor’s linearization was used to correct the p-values; the chi-square test with Pearson correlation was used for categorical variables, and analysis of variance as well as the Student t-test were used for continuous variables. In total, 44 smoking groups were conducted, totaling 329 patients (178 in the motivational interviewing group and 151 in the control group). The smoking cessation rate with motivational interviewing was 61.8%, with RR = 1.25 (95%CI: 1.01-1.54, p = 0.043), and 47.7% in the control group, in the fourth weekly group treatment session. Mean session attendance was 3.1 (95%CI: 2.9-3.3) in the motivational interviewing group and 2.9 (95%CI: 2.5-3.4) in the control group. The completion rate for the motivational interviewing group was 65.2% and for the control group, 57.6%. Motivational interviewing associated with the CBT was shown to be effective and superior to only CBT to smoking cessation in groups in the fourth weekly session and for the population profile of the study (women with an average age of 50.6 years).
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spelling Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trialSmokingMotivational InterviewingSmoking CessationPrimary Health CareBiomedical Technology AssessmentSmoking is the main cause of avoidable death and a major public health problem worldwide, with primary healthcare being a strategic setting for treating this problem. Aims: to evaluate the effectiveness of motivational interviewing associated with the cognitive behavioral therapy (CBT) in smoking groups in primary healthcare. A community-based cluster randomized clinical trial was conducted in Brazil, starting in July 2016. Professionals in the test group were trained in motivational interviewing for eight hours to associate it with the CBT. The usual treatment for smoking cessation in groups consists of four structured weekly sessions of 90 minutes each using a CBT. Taylor’s linearization was used to correct the p-values; the chi-square test with Pearson correlation was used for categorical variables, and analysis of variance as well as the Student t-test were used for continuous variables. In total, 44 smoking groups were conducted, totaling 329 patients (178 in the motivational interviewing group and 151 in the control group). The smoking cessation rate with motivational interviewing was 61.8%, with RR = 1.25 (95%CI: 1.01-1.54, p = 0.043), and 47.7% in the control group, in the fourth weekly group treatment session. Mean session attendance was 3.1 (95%CI: 2.9-3.3) in the motivational interviewing group and 2.9 (95%CI: 2.5-3.4) in the control group. The completion rate for the motivational interviewing group was 65.2% and for the control group, 57.6%. Motivational interviewing associated with the CBT was shown to be effective and superior to only CBT to smoking cessation in groups in the fourth weekly session and for the population profile of the study (women with an average age of 50.6 years).Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000305003Cadernos de Saúde Pública v.37 n.3 2021reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00038820info:eu-repo/semantics/openAccessMelnick,RicardoMendonça,Claunara SchillingMeyer,ElisabethFaustino-Silva,Daniel Demétrioeng2021-04-28T00:00:00Zoai:scielo:S0102-311X2021000305003Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2021-04-28T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
title Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
spellingShingle Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
Melnick,Ricardo
Smoking
Motivational Interviewing
Smoking Cessation
Primary Health Care
Biomedical Technology Assessment
title_short Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
title_full Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
title_fullStr Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
title_full_unstemmed Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
title_sort Effectiveness of motivational interviewing in smoking groups in primary healthcare: a community-based randomized cluster trial
author Melnick,Ricardo
author_facet Melnick,Ricardo
Mendonça,Claunara Schilling
Meyer,Elisabeth
Faustino-Silva,Daniel Demétrio
author_role author
author2 Mendonça,Claunara Schilling
Meyer,Elisabeth
Faustino-Silva,Daniel Demétrio
author2_role author
author
author
dc.contributor.author.fl_str_mv Melnick,Ricardo
Mendonça,Claunara Schilling
Meyer,Elisabeth
Faustino-Silva,Daniel Demétrio
dc.subject.por.fl_str_mv Smoking
Motivational Interviewing
Smoking Cessation
Primary Health Care
Biomedical Technology Assessment
topic Smoking
Motivational Interviewing
Smoking Cessation
Primary Health Care
Biomedical Technology Assessment
description Smoking is the main cause of avoidable death and a major public health problem worldwide, with primary healthcare being a strategic setting for treating this problem. Aims: to evaluate the effectiveness of motivational interviewing associated with the cognitive behavioral therapy (CBT) in smoking groups in primary healthcare. A community-based cluster randomized clinical trial was conducted in Brazil, starting in July 2016. Professionals in the test group were trained in motivational interviewing for eight hours to associate it with the CBT. The usual treatment for smoking cessation in groups consists of four structured weekly sessions of 90 minutes each using a CBT. Taylor’s linearization was used to correct the p-values; the chi-square test with Pearson correlation was used for categorical variables, and analysis of variance as well as the Student t-test were used for continuous variables. In total, 44 smoking groups were conducted, totaling 329 patients (178 in the motivational interviewing group and 151 in the control group). The smoking cessation rate with motivational interviewing was 61.8%, with RR = 1.25 (95%CI: 1.01-1.54, p = 0.043), and 47.7% in the control group, in the fourth weekly group treatment session. Mean session attendance was 3.1 (95%CI: 2.9-3.3) in the motivational interviewing group and 2.9 (95%CI: 2.5-3.4) in the control group. The completion rate for the motivational interviewing group was 65.2% and for the control group, 57.6%. Motivational interviewing associated with the CBT was shown to be effective and superior to only CBT to smoking cessation in groups in the fourth weekly session and for the population profile of the study (women with an average age of 50.6 years).
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000305003
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000305003
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0102-311x00038820
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.37 n.3 2021
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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