The HYP program-targeted motivational interviewing for adolescent violations of school tobacco policy

Prev Med. 2006 Dec;43(6):466-71. doi: 10.1016/j.ypmed.2006.06.018. Epub 2006 Aug 21.


Objective: To evaluate the efficacy of a short-term tobacco-focused intervention for high school students referred by school administrators because of tobacco use.

Method: A sample of 56 adolescents (66% male, mean age 15 years) was recruited through referrals from three state high schools. Participants were randomly assigned to a one-hour motivational interview (MI) session or to standard care (advice/education). The two groups were followed up at one, three, and six-month intervals.

Results: The MI intervention resulted in significant short-term reductions in quantity and frequency of smoking relative to standard care, however, effects were not maintained at 3- and 6-month follow-up. Improvements in refusal self-efficacy were significant relative to standard care.

Conclusion: For adolescents who are established smokers and at high risk of other problems, motivational interviewing was associated with modest short-term gains relative to standard care.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Behavior Therapy / methods
  • Counseling / methods
  • Female
  • Health Education
  • Humans
  • Interview, Psychological*
  • Male
  • Motivation
  • Organizational Policy
  • Program Evaluation*
  • Queensland
  • School Health Services*
  • Schools / organization & administration*
  • Self Efficacy
  • Smoking / epidemiology
  • Smoking / psychology
  • Smoking Cessation / methods*
  • Smoking Cessation / psychology
  • Smoking Cessation / statistics & numerical data
  • Smoking Prevention*