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David L. Bronson, MD; Brian S. Flynn, ScD; Laura J. Solomon, PhD; Pamela Vacek, MS; Roger H. Secker-Walker, MB, FRCP

Arch Intern Med. 1989;149(7):1653-1656.

Abstract
• Periodic health examinations are an excellent opportunity to counsel smokers to quit. The impact of a specialized smoking cessation counselor on the smoking behavior of patients having periodic health examinations was studied in a general internal medicine practice. One hundred fifty-five smokers having periodic health examinations were randomly assigned to a control group who received usual physician advice or an intervention group who received usual physician advice and two counseling sessions with a smoking cessation counselor. The two groups were similar in all demographic variables, smoking-related baseline variables, and baseline levels of motivation and intention to quit smoking. The smoking status of 97% of the subjects was assessed 6 months later. In the intervention group, 46% made quit attempts and 19% quit, compared with 34% and 12%, respectively, in the control group. Intervention-group smokers made more quit attempts (mean±SD, 5.0±2.5 vs 1.8±0.2) and had a greater reduction in daily cigarette use (8.4 ± 1.5 vs 3.5 ± 1.3). Of the 74% of smokers with higher levels of motivation to quit smoking, more intervention-group smokers attempted to quit (70.8% vs 45.5%) and succeeded in quitting at the 6-month follow-up (27.1% vs 10.9%). Periodic health examinations are an excellent opportunity to counsel smokers to quit, especially those smokers with higher levels of motivation to quit smoking.

(Arch Intern Med. 1989;149:1653-1656)

Author Affiliations
From the Division of General Internal Medicine, the Departments of Medicine (Drs Bronson and Seeker-Walker) and Psychology (Dr Solomon), the Biometry Facility (Ms Vacek), and the Office of Health Promotion Research (Drs Flynn and Secker-Walker), University of Vermont, Burlington.

Footnotes
Accepted for publication March 4,1989.

Reprint requests to Given Health Care Center, University of Vermont, 1 S Prospect St, Burlington, VT 05401 (Dr Bronson).

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