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. 2020 May 6;22(5):e13289. doi: 10.2196/13289

Table 3.

Association between smoking cessation and the frequency of codes.

Scale, category of codes, and codes Odds ratio (95% CI) using separate logistic regression models for each code
Motivational Interviewing Scale

Supporting client strengths 1.12 (0.98-1.32)


Explored previous successes N/Aa


Explored positive qualities N/A


Accentuated any motivation for change N/A


Highlighted any efforts towards change N/A


Used affirmations to highlight strengths, motivation N/A

Engagement 1.06 (0.88-1.27)


Worked to fully understand the problem and the client’s perspective before moving toward change N/A


Focused on engagement before change N/A


Used reflective listening to convey empathy and understanding N/A


Used affirmations to build a positive relationship N/A

Eliciting change talk 1.10 (0.74-1.62)


Asked about concerns using open-ended questions or reflective listening N/A


Asked for elaboration about concerns N/A


Explored client values as they relate to change N/A


Selectively responded to change talk with curiosity, interest N/A


Explored pros and cons or decisional balance N/A


Used low-threshold questions N/A

Promoting internal motivation 1.20 (0.74-1.82)


Elicited and respected the client’s goals for treatment N/A


Explored values underlying the motivation for change N/A


Supported autonomy in decision making N/A

Assessing motivation 1.05 (0.52-2.09)


Identified a target behavior N/A


Identified stage of change N/A


Used importance, confidence, and readiness ruler N/A


Differentiated between different areas of motivation (eg, substance use vs mental health; treatment vs change) N/A

Addressing ambivalence 0.94 (0.55-1.63)


Normalized ambivalence N/A


Explored ambivalence N/A


Reframed ambivalence N/A


Used a decisional balance N/A


Avoided direct persuasion N/A


Explored pros and cons of change N/A

Rolling with resistance 0.82 (0.35-1.92)


Affirmation (external reframe) N/A


Empathic response N/A


Reflective listening N/A


Providing choice N/A


Nondefensive response N/A
Smoking Cessation Counseling Scale

Basic counseling


If willing to quit, provide assistance 1.0 (0.69-1.42)


Ask if willing to quit 0.72 (0.18-2.97)


If not quitting, help identify barriers 1.44 (0.60-3.41)

Advanced counseling


Helping smokers prepare to quitb 1.0 (0.82-1.21)


Helping smokers anticipate barriersc 1.07 (0.88-1.31)


Managing relapsesd 0.88 (0.54-1.45)


Advising smokers to set a quit date 1.24 (0.66-2.35)


Getting social supporte 1.04 (0.6-1.80)

aN/A: not applicable.

bHelping smokers prepare to quit codes include identify reasons and benefits for quitting; provide information for follow-up visits with doctor; and recommend over-the-counter nicotine patch, other medications.

cHelp smokers anticipate barriers codes include anticipate challenges in the beginning; anticipate nicotine withdrawal; alcohol is associated with relapse; and review past quit attempts, what helped, and what led to relapse.

dManage relapses codes include if relapse occurs, review and learn from experience; if relapse occurs, repeat quit attempts; if relapse occurs, reassess problems; and total abstinence is essential.

eGetting social support codes include get support from family, friends, and coworkers; and other smokers in house are not helpful.