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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
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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

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