Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers

A randomized controlled trial

Kolawole S. Okuyemi, Kate Goldade, Guy Lucien Whembolua, Janet L. Thomas, Sara Eischen, Barrett Sewali, Hongfei Guo, John E. Connett, Jon Grant, Jasjit S. Ahluwalia, Ken Resnicow, Greg Owen, Lillian Gelberg, Don Des Jarlais

Research output: Contribution to journalArticle

Abstract

Aims: To assess the effects of adding motivational interviewing (MI) counseling to nicotine patch for smoking cessation among homeless smokers. Design: Two-group randomized controlled trial with 26-week follow-up. Participants and setting: A total of 430 homeless smokers from emergency shelters and transitional housing units in Minneapolis/St Paul, Minnesota, USA. Intervention and measurements: All participants received 8-week treatment of 21-mg nicotine patch. In addition, participants in the intervention group received six individual sessions of MI counseling which aimed to increase adherence to nicotine patches and to motivate cessation. Participants in the standard care control group received one session of brief advice to quit smoking. Primary outcome was 7-day abstinence from cigarette smoking at 26 weeks, as validated by exhaled carbon monoxide and salivary cotinine. Findings: Using intention-to-treat analysis, verified 7-day abstinence rate at week 26 for the intervention group was non-significantly higher than for the control group (9.3% versus 5.6%, P=0.15). Among participants who did not quit smoking, reduction in number of cigarettes from baseline to week 26 was equally high in both study groups (-13.7±11.9 for MI versus -13.5±16.2 for standard care). Conclusions: Adding motivational interviewing counseling to nicotine patch did not increase smoking rate significantly at 26-week follow-up for homeless smokers.

Original languageEnglish (US)
Pages (from-to)1136-1144
Number of pages9
JournalAddiction
Volume108
Issue number6
DOIs
StatePublished - Jun 1 2013

Fingerprint

Tobacco Use Cessation Products
Motivational Interviewing
Smoking Cessation
Randomized Controlled Trials
Smoking
Counseling
Emergency Shelter
Cotinine
Control Groups
Intention to Treat Analysis
Carbon Monoxide
Tobacco Products

Keywords

  • Brief advice
  • Homeless
  • Motivational interviewing
  • Nicotine patch
  • Smoking cessation

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers : A randomized controlled trial. / Okuyemi, Kolawole S.; Goldade, Kate; Whembolua, Guy Lucien; Thomas, Janet L.; Eischen, Sara; Sewali, Barrett; Guo, Hongfei; Connett, John E.; Grant, Jon; Ahluwalia, Jasjit S.; Resnicow, Ken; Owen, Greg; Gelberg, Lillian; Des Jarlais, Don.

In: Addiction, Vol. 108, No. 6, 01.06.2013, p. 1136-1144.

Research output: Contribution to journalArticle

Okuyemi, KS, Goldade, K, Whembolua, GL, Thomas, JL, Eischen, S, Sewali, B, Guo, H, Connett, JE, Grant, J, Ahluwalia, JS, Resnicow, K, Owen, G, Gelberg, L & Des Jarlais, D 2013, 'Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers: A randomized controlled trial', Addiction, vol. 108, no. 6, pp. 1136-1144. https://doi.org/10.1111/add.12140
Okuyemi, Kolawole S. ; Goldade, Kate ; Whembolua, Guy Lucien ; Thomas, Janet L. ; Eischen, Sara ; Sewali, Barrett ; Guo, Hongfei ; Connett, John E. ; Grant, Jon ; Ahluwalia, Jasjit S. ; Resnicow, Ken ; Owen, Greg ; Gelberg, Lillian ; Des Jarlais, Don. / Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers : A randomized controlled trial. In: Addiction. 2013 ; Vol. 108, No. 6. pp. 1136-1144.
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abstract = "Aims: To assess the effects of adding motivational interviewing (MI) counseling to nicotine patch for smoking cessation among homeless smokers. Design: Two-group randomized controlled trial with 26-week follow-up. Participants and setting: A total of 430 homeless smokers from emergency shelters and transitional housing units in Minneapolis/St Paul, Minnesota, USA. Intervention and measurements: All participants received 8-week treatment of 21-mg nicotine patch. In addition, participants in the intervention group received six individual sessions of MI counseling which aimed to increase adherence to nicotine patches and to motivate cessation. Participants in the standard care control group received one session of brief advice to quit smoking. Primary outcome was 7-day abstinence from cigarette smoking at 26 weeks, as validated by exhaled carbon monoxide and salivary cotinine. Findings: Using intention-to-treat analysis, verified 7-day abstinence rate at week 26 for the intervention group was non-significantly higher than for the control group (9.3{\%} versus 5.6{\%}, P=0.15). Among participants who did not quit smoking, reduction in number of cigarettes from baseline to week 26 was equally high in both study groups (-13.7±11.9 for MI versus -13.5±16.2 for standard care). Conclusions: Adding motivational interviewing counseling to nicotine patch did not increase smoking rate significantly at 26-week follow-up for homeless smokers.",
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AU - Thomas, Janet L.

AU - Eischen, Sara

AU - Sewali, Barrett

AU - Guo, Hongfei

AU - Connett, John E.

AU - Grant, Jon

AU - Ahluwalia, Jasjit S.

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AU - Owen, Greg

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AU - Des Jarlais, Don

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