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Judith K. Ockene, PhD; Mark E. Quirk, EdD; Robert J. Goldberg, PhD; Jean L. Kristeller, PhD; Gary Donnelly, MPH; Kathryn L. Kalan; Bruce Gould, MD; Harry L. Greene, MD; Richard Harrison-Atlas, MD; James Pease, MD; Samuel Pickens, MD; Joanne W. Williams, PhD

Arch Intern Med. 1988;148(5):1039-1045.

Abstract
• This article describes the results of a three-hour training program that teaches residents a patient-centered counseling approach to smoking cessation, emphasizing questioning and exploring feelings, rather than providing information. Fifty internal medicine and family practice residents affiliated with a university medical center were assessed before and after training using questionnaires and videotape documenting changes in their knowledge about smoking, attitudes concerning intervention, and intervention skills. The residents showed a significant increase in knowledge and perceived themselves as having significantly more influence on their patients who smoke after completion of the training program. Counseling skills improved significantly in the use of questions and exploring feelings as judged by blind evaluation of videotapes. The results of this three-hour training program suggest that physicians in training are responsive to the teaching of specialized skills deemed important for promoting health behavior changes in their patients.

(Arch Intern Med 1988;148:1039-1045)

Author Affiliations
From the Department of Medicine, Division of Preventive and Behavioral Medicine (Drs Ockene, Goldberg, Kristeller, and Williams; Mr Donnelly; and Ms Kalan); Division of General Medicine/Primary Care (Drs Gould and Greene); and the Department of Family and Community Medicine (Drs Quirk, Harrison-Atlas, Pease, and Pickens), University of Massachusetts Medical School, Worcester.

Footnotes
Accepted for publication Aug 20, 1987.

Reprint requests to Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655 (Dr Ockene).

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