Race moderates the effects of Motivational Interviewing on smoking cessation induction
| Autor: | Ken Resnicow, Kathy Goggin, James E. Grobe, Delwyn Catley, Kari Jo Harris, Kimber P. Richter |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_treatment Health Behavior Motivational interviewing Motivational Interviewing Directive Counseling White People Article law.invention 03 medical and health sciences Race (biology) 0302 clinical medicine Randomized controlled trial law Behavior Therapy Ethnicity Medicine Humans 030212 general & internal medicine Health Education Smokers business.industry 030503 health policy & services Smoking General Medicine Middle Aged Health equity Black or African American Treatment Outcome Smoking cessation Health education Female Smoking Cessation 0305 other medical science business Psychosocial Clinical psychology |
| Zdroj: | Patient Educ Couns |
| ISSN: | 1873-5134 |
| Popis: | Objective Health disparities necessitate exploration of how race moderates response to smoking cessation treatment. Data from a randomized clinical trial of Motivational Interviewing (MI) for smoking cessation induction were used to explore differential treatment response between African American (AA) vs Non-Black (NB) smokers. Methods Adult tobacco smokers (138 AA vs 66 NB) with low desire to quit were randomly assigned to four sessions of MI or health education (HE). Outcomes (e.g., quit attempts) were assessed 3- and 6-months. Results There was evidence of a Race by Treatment interaction such that MI was less effective than HE in AA smokers. Mean Cohen's d for the interaction effect was −0.32 (95% CI [−0.44, −0.20]). However, the race interaction could be accounted for by controlling for baseline relationship status and communication preference (wants directive approach). Conclusions MI may be less effective for smoking cessation induction in AA vs NB smokers when compared to another active and more directive therapy. The differential response between races may be explained by psychosocial variables. Practice implications MI may not be an ideal choice for all African American smokers. Patients' relationship status and preference for a directive counseling approach might explain disparities in response to MI treatment. |
| Databáze: | OpenAIRE |
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