Journal
ADDICTIVE BEHAVIORS
Volume 26, Issue 4, Pages 583-602Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/S0306-4603(00)00151-9
Keywords
smoking cessation; stages of change; expert system; population based; proactive intervention
Categories
Funding
- NCI NIH HHS [CA 50087, CA 27821] Funding Source: Medline
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A stage-matched expert system intervention was evaluated on 4144 smokers in a two-arm randomized control trial with four follow-ups over 24 months. Smokers were recruited by random digit-dial calls, and 80.0% of the eligible smokers were enrolled. Individualized and interactive expert system computer reports were sent at 0, 3, and 6 months. The reports provided feedback on 15 variables relevant for progressing through the stages. The primary outcomes were point prevalence and prolonged abstinence rates. At 24 months, the expert system resulted in 25.6% point prevalence and 12% prolonged abstinence, which were 30% and 56% greater than the control condition. Abstinence rates at each 6-month follow-up were significantly greater in the Expert System (ES) condition than in the comparison condition with the absolute difference increasing at each follow-up. A proactive home-based stage-matched expert system smoking cessation program can produce both high participation rates and relatively high abstinence rates. (C) 2001 Elsevier Science Ltd. All rights reserved.
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