 |
|
Effectiveness of a Computer-Tailored Smoking Cessation Program
A Randomized Trial
Jean-François Etter, PhD, MPH;
Thomas V. Perneger, MD, PhD
Arch Intern Med. 2001;161:2596-2601.
Background From a public health perspective, prevention of cancer and cardiovascular
diseases requires effective smoking cessation programs that can be used on
a large scale.
Objective To test the effectiveness of a new computer-tailored smoking cessation
program vs no intervention.
Methods Randomized controlled trial, in the French-speaking part of Switzerland,
September 20, 1998, to December 31, 1999. Potential participants were randomly
selected from a general population register and recruited by mail. Daily cigarette
smokers who wished to participate (N = 2934) were randomized to either the
program or no intervention. A mean of 1.5 times per 6 months, participants
in the active arm received by mail a computer-tailored counseling letter based
on their answers to a questionnaire and stage-matched booklets. The counseling
letters were tailored to the participants' stage of change (categorized as
precontemplation [no intention of quitting smoking in the next 6 months],
contemplation [seriously considers quitting in the next 6 months], or preparation
[has decided to quit in the next 30 days]), level of tobacco dependence, self-efficacy,
and personal characteristics. The outcome measure was self-reported abstinence
(no puff of tobacco smoke in the past 4 weeks) 7 months after entry into the
program.
Results Abstinence was 2.6 times greater in the intervention group than in the
control group (5.8% vs 2.2%, P<.001). The program
was effective in "precontemplators" who were not motivated to quit smoking
at baseline (intervention vs control, 3.8% vs 0.8%; P
= .001) and was effective regardless of perceived difficulty in quitting smoking
at baseline.
Conclusions The program was effective in increasing smoking cessation rates. Because
it can reach a large number of smokers, this program can substantially contribute
to disease prevention at a population level.
From the Institute of Social and Preventive Medicine, University of
Geneva (Drs Etter and Perneger), and Quality of Care Unit, Geneva University
Hospitals (Dr Perneger), Geneva, Switzerland.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Archives of Internal Medicine Reader's Choice: Continuing Medical Education
Arch Intern Med. 2001;161(21):2636-2637.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Effects of Web- and Computer-Based Smoking Cessation Programs: Meta-analysis of Randomized Controlled Trials
Myung et al.
Arch Intern Med 2009;169:929-937.
ABSTRACT
| FULL TEXT
Nonpharmacological smoking cessation interventions in clinical practice
Cornuz and Willi
ERR 2008;17:187-191.
ABSTRACT
| FULL TEXT
Interventions to Increase Self-efficacy in the Context of Addiction Behaviours: A Systematic Literature Review
Hyde et al.
J Health Psychol 2008;13:607-623.
ABSTRACT
Randomized Trials on Consider This, a Tailored, Internet-Delivered Smoking Prevention Program for Adolescents
Buller et al.
Health Educ Behav 2008;35:260-281.
ABSTRACT
Assessing the feasibility of proactive recruitment of smokers to an intervention in general practice for smoking cessation using computer-tailored feedback reports
Gilbert et al.
Fam Pract 2007;24:395-400.
ABSTRACT
| FULL TEXT
Racial/Ethnic Disparities in Report of Physician-Provided Smoking Cessation Advice: Analysis of the 2000 National Health Interview Survey
Lopez-Quintero et al.
AJPH 2006;96:2235-2239.
ABSTRACT
| FULL TEXT
A randomised control study of a fully automated internet based smoking cessation programme
Swartz et al.
Tobacco Control 2006;15:7-12.
ABSTRACT
| FULL TEXT
Post-intervention effect of a computer tailored smoking cessation programme
Etter and Perneger
J. Epidemiol. Community Health 2004;58:849-851.
FULL TEXT
Automated E-mail Messaging as a Tool for Improving Quit Rates in an Internet Smoking Cessation Intervention
Lenert et al.
J. Am. Med. Inform. Assoc. 2004;11:235-240.
ABSTRACT
| FULL TEXT
Utilization and Impact of Cigarette Pack Covers Illustrated with Antismoking Messages
Christie and Etter
Eval Health Prof 2004;27:107-118.
ABSTRACT
Design and Pilot Evaluation of an Internet Smoking Cessation Program
Lenert et al.
J. Am. Med. Inform. Assoc. 2003;10:16-20.
ABSTRACT
| FULL TEXT
|
