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 | |
|
|
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Reframed ambivalence | N/A | |
|
|
|
Used a decisional balance | N/A | |
|
|
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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) | |
|
|
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Ask if willing to quit | 0.72 (0.18-2.97) | |
|
|
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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.