Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit.
Document Type
Article
Publication Date
1-1-2017
Identifier
DOI: 10.1016/j.addbeh.2016.08.036
Abstract
Introduction: The decisional balance (DB) procedure examines the pros and cons of behavior change and was considered a component in early formulations of Motivational Interviewing (MI). However, there is controversy and conflicting findings regarding the use of a DB exercise within the treatment of addictions and a need to clarify the role of DB as a component of MI.
Methods: College tobacco smokers (N=82) with no intentions on quitting were randomly assigned to receive a single counseling session of either Motivational Interviewing using only the decisional balance component (MIDB), or health education around smoking cessation (HE). Assessments were obtained at baseline, immediately post-treatment, 1week, and 4weeks.
Results: Compared to HE, the MIDB sessions scored significantly higher on the Motivational Interviewing Treatment Integrity (MITI) scale (all standardized differences d>1, p
Conclusions: The decisional balance exercise as formulated by earlier versions of MI may be counter-productive and cautions around its use are warranted. Instead, improved cessation outcomes appear associated with increasing perceived benefits of quitting and positive therapeutic alliance.
Journal Title
Addictive behaviors
Volume
64
First Page
171
Last Page
178
MeSH Keywords
Adult; Decision Making; Female; Humans; Intention; Male; Motivational Interviewing; Smokers; Smoking; Smoking Cessation; Students; Universities
Keywords
Cessation; Decisional balance; Motivational interviewing; Tobacco; Smoking
Recommended Citation
Krigel SW, Grobe JE, Goggin K, Harris KJ, Moreno JL, Catley D. Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit. Addict Behav. 2017;64:171-178. doi:10.1016/j.addbeh.2016.08.036
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