Title | Teen reach: Outcomes from a randomized, controlled trial of a tobacco reduction program for teens seen in primary medical care |
Publication Type | Journal Article |
Year of Publication | 2005 |
Authors | Hollis, JF, Polen, MR, Whitlock, EP, Lichtenstein, E, Mullooly, JP, Velicer, WF, Redding, CA |
Journal | Pediatrics |
Volume | 115 |
Pagination | 981-989 |
Date Published | Apr |
Publication Language | eng |
ISBN Number | 1098-4275 (Electronic)0031-4005 (Linking) |
Accession Number | 15805374 |
Keywords | Adolescent, computer-assisted instruction, Health Maintenance Organizations, Humans, Patient Education as Topic/*methods, Primary Health Care, Smoking Cessation/methods/*statistics & numerical data, Smoking/epidemiology/*prevention & control |
Abstract | OBJECTIVE: To test the long-term efficacy of brief counseling plus a computer-based tobacco intervention for teens being seen for routine medical care. METHODS: Both smoking and nonsmoking teens, 14 to 17 years of age, who were being seen for routine visits were eligible for this 2-arm controlled trial. Staff members approached teens in waiting rooms of 7 large pediatric and family practice departments within a group-practice health maintenance organization. Of 3747 teens invited at > or =1 visits, 2526 (67%) consented and were randomized to tobacco intervention or brief dietary advice. The tobacco intervention was individually tailored on the basis of smoking status and stage of change. It included a 30-second clinician advice message, a 10-minute interactive computer program, a 5-minute motivational interview, and up to two 10-minute telephone or in-person booster sessions. The control intervention was a 5-minute motivational intervention to promote increased consumption of fruits and vegetables. Follow-up smoking status was assessed after 1 and 2 years. RESULTS: Abstinence rates after 2 years were significantly higher for the tobacco intervention arm, relative to the control group, in the combined sample of baseline smokers and nonsmokers (odds ratio [OR]: 1.23; 95% confidence interval [CI]: 1.03-1.47). Treatment effects were particularly strong among baseline self-described smokers (OR: 2.42; 95% CI: 1.40-4.16) but were not significant for baseline nonsmokers (OR: 1.25; 95% CI: 0.97-1.61) or for those who had "experimented" in the past month at baseline (OR: 0.95; 95% CI: 0.45-1.98). CONCLUSIONS: Brief, computer-assisted, tobacco intervention during routine medical care increased the smoking cessation rate among self-described smokers but was less effective in preventing smoking onset. |
URL | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15805374 |