Living Sicial (malagasy)
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population of over 2 million, there are multiple opportunities to address the smoking cessation needs of this high risk and underserved population.1 Tobacco use among prisoners is approximately three times that of the general population2 and minorities, poor, mentally ill and illicit substance using individuals are all overrepresented in correctional facilities.
Since the announcement of the negative health consequences of second hand smoke, correctional facilities are increasingly becoming tobacco free. The Rhode Island Department of Corrections (RI DOC) has been tobacco free since February 2003 with no tobacco products allowed anywhere on grounds by inmates or staff. However the majority of inmates return to smoking as soon as they are released back into the community.
Motivational Interviewing (MI) can be conceptualized and informed by the self-determination theory.3, 4 MI utilizes specific techniques for providing feedback based on an individuals risk, and self efficacy. Cognitive Behavioral Therapy (CBT) provides the skills necessary to maintain abstinence after release. We aim to capitalize on these periods of forced abstinence by evaluating an Intensive Behavioral Intervention (IBI) (6 sessions of in jail MI/CBT and two post release telephone booster sessions) compared to a CONcise Tapes Reviewing Obstacles to healthy Living (CONTROL) in a randomized clinical trial. We propose to randomly assign to Intensive Behavioral Intervention or time equivalent CONTROL eight weeks before release from incarceration. Those randomized to IBI will receive two MI and four CBT sessions in prison and two booster telephone sessions after release.