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Integrating Motivational Interviewing Into a Home Telehealth Program for Veterans With Posttraumatic Stress Disorder Who Smoke: A Randomized Controlled Trial
Author(s) -
Battaglia Catherine,
Peterson Jamie,
Whitfield Emily,
Min SungJoon,
Benson Susan L.,
Maddox Thomas M.,
Prochazka Allan V.
Publication year - 2016
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22252
Subject(s) - motivational interviewing , telehealth , abstinence , smoking cessation , randomized controlled trial , psychiatry , depression (economics) , mental health , clinical psychology , medicine , physical therapy , psychology , intervention (counseling) , telemedicine , health care , surgery , pathology , economic growth , economics , macroeconomics
Objective We evaluated integrating a motivational interviewing (MI)‐based smoking cessation curricula and MI counseling into a posttraumatic stress disorder (PTSD) home telehealth care management program to determine if smoking behaviors improved. Method We randomized 178 Veterans with PTSD to a 90‐session MI‐based home telehealth program or to usual care. Outcome measures included self‐reported 24‐hour quit attempts, seven‐day point prevalence abstinence, progression along the stages of change, and mental health symptoms. Results Favorable smoking cessation rates were observed in both groups. There was no statistical difference in self‐reported 24‐hour quit attempts, seven‐day point prevalence smoking abstinence or progression along the stages of change. The intervention group showed improved depression and PTSD symptoms. Conclusion Integrating MI‐based smoking cessation treatment into PTSD home telehealth is an effective method to help Veterans with PTSD quit smoking. Further research is needed to understand how to optimize MI integration into home telehealth to achieve sustained smoking cessation rates.