Abstract 1392: Smoking Cessation Through a Simulated Teachable Moment: Early Results of a Novel Modification Technique Using Personal Identification
Background: Experiencing a myocardial infarction (MI) can be a “teachable moment” that results in smoking cessation where prior efforts have failed.
Purpose: To determine the feasibility of creating a simulated and personalised teachable moment to facilitate quitting.
Methods: Smokers with no related illness, and a non-smoking partner, have photographs of themselves, partner and family, inserted into a video depicting a smoker (by imagery, themselves) experiencing an MI with potential personal and family consequences. A psychologist evaluates responses and uses motivational interviewing to reinforce quitting efficacy. Carbon monoxide (CO) and smoking status are evaluated at baseline, 1 week (with repeat video) 3 and 6 months. One week and 3 month results are presented, with later follow-up ongoing.
Results: Thirteen subjects (11 male 2 female) aged 45±12 years (mean, SD) completed baseline and week 1. Four subjects also used quitting aids. Fagestrom score (nicotine tolerance) was 3.7±2.9. Seven subjects had observable responses to the video including “looking uncomfortable”, “red eyes, difficulty speaking”. Self reports included “made me aware of the important things” and “it felt very real”. At week 1 evaluation, Impact of Event Scale was 8.1±7.5 without deleterious effect. Seven of 13 subjects reported stopping smoking, and the other 6 had reduced consumption. Daily cigarettes fell from 17.3±9.3 at baseline to 2.7±4.9, p<0.001 at week 1, and CO levels from 15.7±9.9 to 3.1±3.2, p=0.001. At 3 months, 5 of 11 subjects seen were still non-smoking.
Conclusion: It is feasible to create a personalised simulated teachable moment. Early results provide encouragement for further investigation of this novel method for smoking cessation, and for other behaviour modification.