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Motivational Behavior Might Help Smokers Quit
The review included data from 14 studies published between 1997 and 2008, with more than 10,000 smokers involved.
"While motivational interviewing has been widely used to help people stop smoking and is recommended in many international anti-smoking guidelines, it had not yet been substantiated by evidence," said lead investigator Douglas Lai, a family medicine specialist in Hong Kong. "This is the first rigorous review of the best evidence available and the result is encouraging."
The review appears in the latest issue of The Cochrane Library, a publication of the Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.
In motivational interviewing, the smoker receives non-confrontational counseling intended to help him or her explore conflicts about changing the behavior, identify gaps between smoking and other life goals and support the choice to quit.
The goal is to uncover and resolve ambivalence about quitting. For example, many smokers have never had a chance to discuss, in a non-judgmental setting, their feelings about quitting, such as, "If I stop I''m going to gain weight and I will hate myself if that happens."
According to Stephen Rollnick, Ph.D., and William R. Miller, Ph.D., who developed the strategy, the task of the counselor is to elicit such ambivalent feelings, enable a full expression of all sides of the inner conflict, not judge and help the person find a resolution that includes a choice for attempting smoking cessation.
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