Integrating Motivational Interviewing Into a Home Telehealth Program for Veterans With Posttraumatic Stress Disorder Who Smoke: A Randomized Controlled Trial.

Autor: Battaglia C; Eastern Colorado Health Care System.; University of Colorado Denver., Peterson J; Eastern Colorado Health Care System., Whitfield E; Eastern Colorado Health Care System., Min SJ; University of Colorado Denver., Benson SL; Mental Health Partners., Maddox TM; Eastern Colorado Health Care System.; University of Colorado Denver., Prochazka AV; Eastern Colorado Health Care System.; University of Colorado Denver.
Jazyk: angličtina
Zdroj: Journal of clinical psychology [J Clin Psychol] 2016 Mar; Vol. 72 (3), pp. 194-206. Date of Electronic Publication: 2016 Jan 19.
DOI: 10.1002/jclp.22252
Abstrakt: Objective: We evaluated integrating a motivational interviewing (MI)-based smoking cessation curricula and MI counseling into a posttraumatic stress disorder (PTSD) home telehealth care management program to determine if smoking behaviors improved.
Method: We randomized 178 Veterans with PTSD to a 90-session MI-based home telehealth program or to usual care. Outcome measures included self-reported 24-hour quit attempts, seven-day point prevalence abstinence, progression along the stages of change, and mental health symptoms.
Results: Favorable smoking cessation rates were observed in both groups. There was no statistical difference in self-reported 24-hour quit attempts, seven-day point prevalence smoking abstinence or progression along the stages of change. The intervention group showed improved depression and PTSD symptoms.
Conclusion: Integrating MI-based smoking cessation treatment into PTSD home telehealth is an effective method to help Veterans with PTSD quit smoking. Further research is needed to understand how to optimize MI integration into home telehealth to achieve sustained smoking cessation rates.
(© 2016 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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