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Address: Calwerstraße 14
72076 Tübingen


Person profile: 07071 29-82311


Fax number: 07071 29-4141


Brief Interventions

Effectiveness of interventions

The long-term abstinence rates (after 12 months) are decisive for assessing the effectiveness of a treatment method. The spontaneous decision to quit smoking leads to abstinence in only 1 to 5% of smokers; medical advice can still be successful in 5% of smokers. If the advice is given by nursing staff, a similar effect can be expected. A brief intervention of less than 5 minutes leads to abstinence in 6-7% of smokers. While the administration of nicotine alone for smoking cessation mediates success rates between 10 and 15%, the use of behavioral self-help manuals achieves between 15 and 20% abstinent smokers, and behavioral group treatment is effective in up to 25% of smokers, combination treatments of behavioral therapy and nicotine substitution can achieve up to 35% abstinence after one year. The effectiveness of treatment with bupropion is estimated to be similar.

The chances of success in smoking cessation are almost doubled by drug support.

Hints on how to conduct a conversation

Patients with addictive disorders tend to trivialise or deny questions about their substance use. When talking about their addictive behaviour, they often react with resistance. For the medical and nursing staff, conversations with affected patients about addictive substance use are therefore rarely purposeful and are often experienced as frustrating.

In order to successfully counter the characteristics of the conversation described above, the method of "motivational interviewing" (Miller, Rollnick, 2005) has proven to be particularly helpful in the treatment of addicts. Motivational interviewing is based on the following basic principles:

  • Empathy: non-judgmental, empathetic understanding, active listening.
  • Avoiding evidence - avoiding confrontation
  • Supporting the patient's self-disclosure - asking open questions
  • Promote self-efficacy - convey confidence and trust in the patient's ability to solve their own problems. Avoid acting as an "expert"
  • Point out contradiction: Make patients aware of contradictions between personal life goals and consequences of the cosmos
  • Accepting contradictions: Accepting existing ambivalences, acknowledging the patient's own responsibility
  • Giving feedback - expressing praise and confirmation for successes achieved.

Counselling offered by the prevention outpatient clinic

Contact can be made by telephone with the consultant doctor of the Prevention Outpatient Clinic for Addiction.

Consultation service

Certificates and Associations