Motivating Behavior Change

Sustaining Cessation in Parents of Kids with Asthma

A renewal of our prior NHLBI grant, "Motivating the Parents of Kids with Asthma to Quit Smoking," this study compared two nurse-delivered home-based smoking cessation interventions for low-income caregivers of children receiving asthma treatment: one that focused on augmenting risk perception through the provision of biomarker feedback (PAM) and one that focused on building self-efficacy using the Agency for Healthcare Research and Quality guidelines (BAM). PAM achieved significantly greater quit rates than BAM at a 2 month follow-up, but both groups had high relapse rates by 6-months. The first aim of the current study utilized our previously demonstrated smoking cessation intervention (PAM) to examine the cognitive, affective and behavioral processes hypothesized to underlie the teachable moment in smokers with kids who had a recent asthma exacerbation vs. smokers with healthy kids. The second aim attempts to sustain the excellent short-term quit rates we found in our first study by testing whether supplementing PAM with a telephone-based intervention improves and sustains quitting more than PAM plus contact control in the parents of kids with asthma. The telephone counseling is theory-based, targeting the constructs associated with quitting in our first study (perceived risk, precaution effectiveness, and self-efficacy). Our primary outcomes of interest are: point prevalence abstinence, Environmental Tobacco Smoke (ETS) reduction, asthma morbidity, and health care utilization. We will also examine mediators and moderators.

Principal Investigator:Belinda Borrelli, PhD

Co-Investigators: Elizabeth McQuaid, PhD; Bruce Becker, MD; S. Katherine Hammond, PhD; Scott Novak, PhD

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2005 - 2010

Motivating Smokers with Mobility Impairments to Quit Smoking

The aim of this project is to use community based participatory research to develop and produce a theory-based DVD for smoking cessation that is tailored for smokers with mobility impairments, and test the efficacy in a randomized clinical trial.

Principal Investigator: Belinda Borrelli, PhD

Co-Investigators: Beth Bock, PhD; Rosemary Hughes, PhD and Tom Lasater, PhD

Funding Agency: National Cancer Institute

Dates: 2009 - 2014

Sustaining Cessation in Pregnant Smokers

The primary aim of this project is to test whether a Sustained Telephone Counseling (STC) intervention can maintain post-partum abstinence from smoking cigarettes vs. standard care among women who quit at the start of their pregnancy.

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Tom Lasater, PhD (Project PI)

Co-Investigator: Scott Novak, PhD

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2005 - 2010

Motivating Asthma Medication Adherence in Urban Pre and Early Teens

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Cynthia Rand, PhD (Project PI)

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2005 - 2010

School-based Asthma Therapy: Stage 2 Effectiveness Study - Revised

The aim of this study is to increase asthma medication adherence and reduce environmental tobacco smoke exposure in the home.

Principal Investigators: Belinda Borrelli, PhD  (Subcontract PI) and Jill Halterman, MD (Project PI)

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2006 - 2010

Motivating Adherence to CPAP in Obstructive Sleep Apnea

To test the effectiveness of a motivational interviewing intervention combined with feedback vs. education on increasing adherence to CPAP in patients with obstructive sleep apnea.

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Mark Aloia, PhD (Project PI)

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2007 - 2012

Motivating Improved Self-management among Older Teens and Adults with Cystic Fibrosis

The aim of this grant is to assess the relative efficacy of a motivational interviewing adherence intervention (MI) vs. a CF education intervention (CFE) on adherence to the CF regimen and on morbidity among individuals with CF who are 16 years old or older.

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Kristin Riekert, PhD (Project PI)

Funding Agency: National Heart, Lung, and Blood Institute

Dates: 2007 - 2012

Prevention of Dental Caries among Children in Low Income Housing in Boston

To test the effectiveness of a Motivational Interviewing intervention to increase dental health and dental health behaviors in low income public housing residents.

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Michelle Henshaw, PhD (Project PI)

Funding Agency: National Institute of Dental and Craniofacial Researc

Dates: 2008 - 2015

Motivating Smoking Cessation in a Low-income Housing Population

Low-income smokers are less successful in quitting than higher-income smokers. Interventions to improve the rate of smoking cessation among low-income smokers are urgently needed, or else these smokers will bear an increasingly disparate burden of smoking-related disease and death. Using residents from low-income communities, such as public housing, to help their fellow residents quit smoking may be an effective method to increase the rate of smoking cessation. This is a randomized clinical trial that tests the efficacy of using either a) a peer-counseling model to motivate smoking cessation treatment entry (Motivational Interviewing) or b) standard education for smoking cessation to motivate smoking cessation treatment entry.

Principal Investigators: Belinda Borrelli, PhD (Subcontract PI) and Daniel Brooks, PhD (Project PI)

Funding Agency: National Cancer Institute

Dates: 2009-2012