Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-11T13:18:31.188Z Has data issue: false hasContentIssue false
  • English
  • Français

Development of a Brief Motivational Intervention to Facilitate Engagement of Smoking Cessation Treatment Among Inpatient Depressed Smokers

Published online by Cambridge University Press:  13 July 2012

David R. Strong ,
Lisa Uebelacker ,
Yael Chatav Schonbrun ,
Ayla Durst ,
Jennifer Saritelli ,
Kathryn Fokas ,
Ana Abrantes ,
Richard A. Brown ,
Ivan Miller  and
Timothy R. Apodaca
David R. Strong*
Affiliation:
Department of Family and Preventive Medicine, University of California, USA
Lisa Uebelacker
Affiliation:
Alpert Medical School of Brown University, USA Butler Hospital, Providence RI, USA
Yael Chatav Schonbrun
Affiliation:
Alpert Medical School of Brown University, USA Butler Hospital, Providence RI, USA
Ayla Durst
Affiliation:
Butler Hospital, Providence RI, USA
Jennifer Saritelli
Affiliation:
Butler Hospital, Providence RI, USA
Kathryn Fokas
Affiliation:
Butler Hospital, Providence RI, USA
Ana Abrantes
Affiliation:
Alpert Medical School of Brown University, USA Butler Hospital, Providence RI, USA
Richard A. Brown
Affiliation:
Alpert Medical School of Brown University, USA Butler Hospital, Providence RI, USA
Ivan Miller
Affiliation:
Alpert Medical School of Brown University, USA Butler Hospital, Providence RI, USA
Timothy R. Apodaca
Affiliation:
Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, USA
*
Address for correspondence: David R. Strong, UCSD Moores Cancer Center, 3855 Health Sciences Drive, 0901, La Jolla, San Diego, CA 92093, USA. E-mail: dstrong@ucsd.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Inpatient smokers with major depressive disorder (MDD) have high rates of relapse to smoking after hospital discharge. The risk of health consequences that may contribute to increased morbidity and mortality among this population underscores the need to develop a program for psychiatric inpatient cigarette smokers with MDD. Using a motivational interviewing (MI) intervention, we sought to facilitate engagement of smokers with elevated depression symptoms in an outpatient treatment with demonstrated efficacy for nicotine dependence. In Phase 1 of this program, we recruited 15 smokers with MDD who were receiving inpatient psychiatric services. This preliminary report focuses on the development of the intervention, and explores perceived barriers to quitting, methods of quitting, and interest in smoking cessation treatment following discharge from an inpatient stay. Understanding inpatient cigarette smokers’ interests in making changes in smoking, and in willingness to attempt cessation and engage in cessation treatment can inform efforts to curb smoking in this high-risk population.

Keywords

inpatient smokersmajor depressionmotivational interviewingsmoking cessationtreatment engagement
Type
Articles
Information
Journal of Smoking Cessation , Volume 7 , Issue 1 , June 2012 , pp. 4 - 11
Copyright
Copyright © The Authors 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Apodaca, T.R., & Longabaugh, R. (2009). Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence. Addiction, 104 (5), 705–715.CrossRefGoogle ScholarPubMed
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84 (2), 191–215.CrossRefGoogle Scholar
Brown, R.A., Burgess, E.S., Sales, S.D., Whiteley, J.A., Evans, D.M., & Miller, I.W. (1998). Reliability and validity of a smoking timeline follow-back interview. Psychology of Addictive Behaviors, 12 (2), 101–112.CrossRefGoogle Scholar
Cacciola, J.S., Alterman, A.I., Rutherford, M.J., McKay, J.R., & May, D.J. (1999). Comparability of telephone and in-person Structured Clinical Interview for DSM-III-R (SCID) diagnoses. Assessment, 6 (3), 235–242.CrossRefGoogle ScholarPubMed
Callahan, C.M., Hui, S.L., Nienaber, N.A., Musick, B.S., & Tierney, W.M. (1994). Longitudinal study of depression and health services use among elderly primary care patients. Journal of the American Geriatrics Society, 42 (8), 833–838.CrossRefGoogle ScholarPubMed
Daley, D.C., & Zuckoff, A. (1998). Improving compliance with the initial outpatient session among discharged inpatient dual diagnosis clients. Social Work, 43 (5), 470–473.CrossRefGoogle ScholarPubMed
Dunn, C., Deroo, L., & Rivara, F.P. (2001). The use of brief interventions adapted from motivational interviewing across behavioural domains: A systematic review. Addiction, 96, 1725–1742.CrossRefGoogle ScholarPubMed
Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.CrossRefGoogle Scholar
Gierisch, J.M., Bastian, L.A., Calhoun, P.S., McDuffie, J.R., & Williams, J.W. Jr. (2011). Smoking cessation interventions for patients with depression: A systematic review and meta-analysis. Journal of General Internal Medicine, 27, 351–360.CrossRefGoogle ScholarPubMed
Glassman, A.H. (1993). Cigarette smoking: Implications for psychiatric illness. American Journal of Psychiatry, 150 (4), 546–553.Google ScholarPubMed
Glynn, S.M., & Sussman, S. (1990). Why patients smoke. Hospital and Community Psychiatry, 41 (9), 1027–1028.Google ScholarPubMed
Grant, B.F., Hasin, D.S., Chou, S.P., Stinson, F.S., & Dawson, D.A. (2004). Nicotine dependence and psychiatric disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 61 (11), 1107–1115.CrossRefGoogle ScholarPubMed
Haug, N.A., Hall, S.M., Prochaska, J.J., Rosen, A.B., Tsoh, J.Y., Humfleet, G., . . . Eisendrath, S. (2005). Acceptance of nicotine dependence treatment among currently depressed smokers. Nicotine & Tobacco Research, 7 (2), 217–224.CrossRefGoogle ScholarPubMed
Heatherton, T.F., Kozlowski, L.T., Frecker, R.C., & Fagerstrom, K.O. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86, 1119–1127.CrossRefGoogle ScholarPubMed
Hettema, J., Steele, J., & Miller, W.R. (2005). Motivational interviewing. Annual Review of Clinical Psychology, 1, 91–111.CrossRefGoogle ScholarPubMed
Hughes, J.R., Hatsukami, D.K., Mitchell, J.E., & Dahlgren, L.A. (1986). Prevalence of smoking among psychiatric outpatients. American Journal of Psychiatry, 143 (8), 993–997.Google ScholarPubMed
Katon, W.J., Lin, E., Russo, J., & Unutzer, J. (2003). Increased medical costs of a population-based sample of depressed elderly patients. Archives of General Psychiatry, 60 (9), 897–903.CrossRefGoogle ScholarPubMed
Kessler, R.C., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., & Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62 (6), 593–602.CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R.L., & Williams, J.B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16 (9), 606–613.CrossRefGoogle ScholarPubMed
Kroenke, K., Spitzer, R.L., Williams, J.B., & Lowe, B. (2010). The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: A systematic review. General Hospital Psychiatry, 32 (4), 345–359.CrossRefGoogle ScholarPubMed
Lasser, K., Boyd, J.W., Woolhandler, S., Himmelstein, D.U., McCormick, D., & Bor, D.H. (2000). Smoking and mental illness: A population-based prevalence study. Journal of the American Medical Association, 284 (20), 2606–2610.CrossRefGoogle ScholarPubMed
Lawn, S., & Pols, R. (2005). Smoking bans in psychiatric inpatient settings? A review of the research. Australian and New Zealand Journal of Psychiatry, 39 (10), 866–885.CrossRefGoogle ScholarPubMed
Miller, W.R., & Rollnick, S. (2002), Motivational interviewing: Preparing people to change (2nd ed.). New York: Guilford Press.Google Scholar
Miller, W.R., & Rollnick, S. (2009). Ten things that motivational interviewing is not. Behavioural and Cognitive Psychotherapy, 37 (2), 129–140.CrossRefGoogle ScholarPubMed
Moyers, T.B., Martin, T., Manuel, J.K., & Miller, W.R. (2006). The Motivational Interviewing Treatment Integrity (MITI) Code: Version 2.0 (Unpublished manuscript). University of New Mexico Center for Alcholism, Substance Abuse, and Addictions (CASAA).Google Scholar
Noonan, W.C., & Moyers, T.B. (1997). Motivational Interviewing: A review. Journal of Substance Misuse, 2 (8–16).CrossRefGoogle Scholar
Patten, C.A., Bruce, B.K., & Hurt, R.D. (1995). Effects of smoke-free policy on an inpatient psychiatric unit. Tobacco Control, 4, 372–379.CrossRefGoogle Scholar
Prochaska, J.J., Fletcher, L., Hall, S.E., & Hall, S.M. (2006). Return to smoking following a smoke-free psychiatric hospitalization. The American Journal on Addictions, 15 (1), 15–22.CrossRefGoogle ScholarPubMed
Prochaska, J.J., Gill, P., & Hall, S.M. (2004). Treatment of tobacco use in an inpatient psychiatric setting. Psychiatric Services, 55 (11), 1265–1270.CrossRefGoogle Scholar
Prochaska, J.J., Rossi, J.S., Redding, C.A., Rosen, A.B., Tsoh, J.Y., Humfleet, G.L., . . . Hall, S.M. (2004). Depressed smokers and stage of change: Implications for treatment interventions. Drug and Alcohol Dependence, 76 (2), 143–151.CrossRefGoogle ScholarPubMed
Simon, G.E., VonKorff, M., & Barlow, W. (1995). Health care costs of primary care patients with recognized depression. Archives of General Psychiatry, 52 (10), 850–856.CrossRefGoogle ScholarPubMed
Spitzer, R.L., Kroenke, K., Williams, J.B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166 (10), 1092–1097.CrossRefGoogle ScholarPubMed
Swanson, A.J., Pantalon, M.V., & Cohen, K.R. (1999). Motivational interviewing and treatment adherence among psychiatric and dually diagnosed patients. Journal of Nervous & Mental Disease, 187 (10), 630–635.CrossRefGoogle ScholarPubMed
Velicer, W.F., DiClemente, C.C., Prochaska, J.O., & Brandenburg, N. (1985). Decisional balance measure for assessing and predicting smoking status. Journal of Personality and Social Psychology, 48 (5), 1279–1289.CrossRefGoogle ScholarPubMed