Digital Commons Network^™

Motivational Interviewing For Encouraging Quit Attempts Among Unmotivated Smokers: Study Protocol Of A Randomized, Controlled, Efficacy Trial, Delwyn Catley, Kari J. Harris, Kathy Goggin, Kimber Richter, Karen Williams, Christi Patten, Ken Resnicow, Edward Ellerbeck, Andrea Bradley-Ewing, Domonique Malomo, Robin Liston

Public and Community Health Sciences Faculty Publications

Background

Although the current Clinical Practice Guideline recommend Motivational Interviewing for use with smokers not ready to quit, the strength of evidence for its use is rated as not optimal. The purpose of the present study is to address key methodological limitations of previous studies by ensuring fidelity in the delivery of the Motivational Interviewing intervention, using an attention-matched control condition, and focusing on unmotivated smokers whom meta-analyses have indicated may benefit most from Motivational Interviewing. It is hypothesized that MI will be more effective at inducing quit attempts and smoking cessation at 6-month follow-up than brief advice to quit …

A Comparison Of Autonomous Regulation And Negative Self-Evaluative Emotions As Predictors Of Smoking Behavior Change Among College Students, Hyoung S. Lee, Delwyn Catley, Kari J. Harris

Public and Community Health Sciences Faculty Publications

This study compared autonomous self-regulation and negative self-evaluative emotions as predictors of smoking behavior change in college student smokers (N=303) in a smoking cessation intervention study. Although the two constructs were moderately correlated, latent growth curve modeling revealed that only autonomous regulation, but not negative self-evaluative emotions, was negatively related to the number of days smoked. Results suggest that the two variables tap different aspects of motivation to change smoking behaviors, and that autonomous regulation predicts smoking behavior change better than negative self-evaluative emotions.

Analysis Of Smoking Patterns And Contexts Among College Student Smokers, Nikole J. Cronk, Kari J. Harris, Solomon W. Harrar, Kathrene Conway, Delwyn Catley, Glenn E. Good

Public and Community Health Sciences Faculty Publications

Many who smoke in college do so infrequently and smoking conditions are not well-understood. We examined smoking patterns among college fraternity and sorority members (N=207) from a Midwestern university in three successive fall semesters in 2006–2008. Participants completed calendar-assisted retrospective assessments of 30-day smoking at up to 5 assessment points over 96 days. Overall smoking rates declined over the course of each semester and higher smoking on weekends was observed, with more variability among daily smokers. The most frequent categories of events to cue recall of smoking were socializing, work, and school. Findings can be used to target prevention efforts.

Timeline Follow-Back Versus Global Self-Reports Of Tobacco Smoking: A Comparison Of Findings With Non-Daily Smokers, Kari J. Harris, Amanda L. Golbeck, Nikole J. Cronk, Delwyn Catley, Kathrene Conway, Karen B. Williams

Public and Community Health Sciences Faculty Publications

Methods assessing non-daily smoking are of concern because biochemical measures can not verify self-reports beyond 7 days. This study compares two self-reported smoking measures for non-daily smokers. A total of 389 college students, (48% female, 96% white, mean age of 19) smoking between 1 and 29 days out of the past 30, completed computer assessments in three cohorts with the order of administration of the measures counterbalanced. Values from the two measures were highly correlated. Comparisons of Timeline Follow-Back (TLFB) with the global questions for the total sample of non-daily smokers yielded statistically significant differences (p<.001), albeit small, between measures with the TLFB resulting on average in 2.38 more total cigarettes smoked out of the past 30 days, 0.46 less smoking days, and 0.21 more cigarettes smoked per day. Analyses by level of smoking showed that the discordance between the measures differed by frequency of smoking. Global questions of days smoked resulted in frequent reporting in multiples of five days, suggesting digit bias. Overall the two measures of smoking were highly correlated and equally effective for identifying any smoking in a 30-day period among non-daily smokers.

Adherence To Principles Of Motivational Interviewing And Client Within-Session Behavior, Delwyn Catley, Kari Jo Harris, Matthew S. Mayo, Sandra Hall, Kolawole S. Okuyemi, Thuy Boardman, Jasjit S. Ahluwalia

Public and Community Health Sciences Faculty Publications

The purpose of this study was to examine whether counselor adherence to Motivational Interviewing (MI) principles was associated with more productive within-session client behavior in a smoking cessation trial for African American smokers. For these analyses 89 baseline counseling sessions of the trial were audiotaped and coded using the Motivational Interviewing Skill Code (MISC). Counselor adherence indicators included a global subjective rating of MI adherence and the frequency of MI-consistent and MI-inconsistent counselor behaviors described in the MISC. Indicators of productive client behaviors included global subjective ratings of within-session client functioning and counselor-client interaction, as well as the frequency of …

Characteristics Of Social Smoking Among College Students, Kimberly Waters, Kari J. Harris, Sandra Hall, Niaman Nazir, Alex Waigandt

Public and Community Health Sciences Faculty Publications

Social smoking is a newly identified phenomenon in the young adult population that is poorly understood. We investigated differences in social smoking (smoking most commonly while partying or socializing) and other smoking within a convenience sample of college smokers (n = 351) from a large midwestern university. Results revealed that 70% of 351 current (past 30-day) smokers reported social smoking. No significant difference was found in motivation to quit between smoking groups. However, a significant difference was found between groups in confidence to quit, the number of days smoked, and the number of cigarettes smoked on those days. More …