Advertising Disclaimer
Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 981-989 (doi:10.1542/peds.2004-0981)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow View eLetters
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Web of Science (33)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hollis, J. F.
Right arrow Articles by Redding, C. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hollis, J. F.
Right arrow Articles by Redding, C. A.
Related Collections
Right arrow Office Practice
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Teen Reach: Outcomes From a Randomized, Controlled Trial of a Tobacco Reduction Program for Teens Seen in Primary Medical Care

Jack F. Hollis, PhD*, Michael R. Polen, PhD*, Evelyn P. Whitlock, MD, MPH*, Edward Lichtenstein, PhD{ddagger}, John P. Mullooly, PhD*, Wayne F. Velicer, PhD§, Colleen A. Redding, PhD§

* Center for Health Research, Kaiser Permanente, Portland, Oregon
{ddagger} Oregon Research Institute, Eugene, Oregon
§ University of Rhode Island, Kingston, Rhode Island

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 ≥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.


Key Words: tobacco • adolescents • intervention • cessation • primary care

Abbreviations: OR, odds ratio • CI, confidence interval • GEE, generalized estimating equations • PTC, Pathways to Change


Accepted Sep 1, 2004.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
JNCI J Natl Cancer InstHome page
A. V. Peterson Jr, K. A. Kealey, S. L. Mann, P. M. Marek, E. J. Ludman, J. Liu, and J. B. Bricker
Group-Randomized Trial of a Proactive, Personalized Telephone Counseling Intervention for Adolescent Smoking Cessation
J Natl Cancer Inst, October 21, 2009; 101(20): 1378 - 1392.
[Abstract] [Full Text] [PDF]


Home page
JNCI J Natl Cancer InstHome page
K. A. Kealey, E. J. Ludman, P. M. Marek, S. L. Mann, J. B. Bricker, and A. V. Peterson
Design and Implementation of an Effective Telephone Counseling Intervention for Adolescent Smoking Cessation
J Natl Cancer Inst, October 21, 2009; 101(20): 1393 - 1405.
[Abstract] [Full Text] [PDF]


Home page
Ann Fam MedHome page
B. Barnet, J. Liu, M. DeVoe, A. K. Duggan, M. A. Gold, and E. Pecukonis
Motivational Intervention to Reduce Rapid Subsequent Births to Adolescent Mothers: A Community-Based Randomized Trial
Ann. Fam. Med, September 1, 2009; 7(5): 436 - 445.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
S.-K. Myung, D. D. McDonnell, G. Kazinets, H. G. Seo, and J. M. Moskowitz
Effects of Web- and Computer-Based Smoking Cessation Programs: Meta-analysis of Randomized Controlled Trials
Arch Intern Med, May 25, 2009; 169(10): 929 - 937.
[Abstract] [Full Text] [PDF]


Home page
Arch Pediatr Adolesc MedHome page
A. L. Olson, C. A. Gaffney, V. A. Hedberg, and G. R. Gladstone
Use of Inexpensive Technology to Enhance Adolescent Health Screening and Counseling
Arch Pediatr Adolesc Med, February 1, 2009; 163(2): 172 - 177.
[Abstract] [Full Text] [PDF]


Home page
Tobacco ControlHome page
F Muller-Riemenschneider, A Bockelbrink, T Reinhold, A Rasch, W Greiner, and S N Willich
Long-term effectiveness of behavioural interventions to prevent smoking among children and youth
Tob. Control, October 1, 2008; 17(5): 301 - 302.
[Abstract] [Full Text] [PDF]


Home page
Health Educ ResHome page
C. L. Backinger, C. N. Michaels, A. M. Jefferson, P. Fagan, A. L. Hurd, and R. Grana
Factors associated with recruitment and retention of youth into smoking cessation intervention studies--a review of the literature
Health Educ. Res., April 1, 2008; 23(2): 359 - 368.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
L. Pbert, A. J. Flint, K. E. Fletcher, M. H. Young, S. Druker, and J. R. DiFranza
Effect of a Pediatric Practice-Based Smoking Prevention and Cessation Intervention for Adolescents: A Randomized, Controlled Trial
Pediatrics, April 1, 2008; 121(4): e738 - e747.
[Abstract] [Full Text] [PDF]


Home page
J Pediatr PsycholHome page
L. A. Robinson, K. M. Emmons, E. T. Moolchan, and J. S. Ostroff
Developing Smoking Cessation Programs for Chronically Ill Teens: Lessons Learned from Research with Healthy Adolescent Smokers
J. Pediatr. Psychol., March 1, 2008; 33(2): 133 - 144.
[Abstract] [Full Text] [PDF]


Home page
J Pediatr PsycholHome page
K. P. Tercyak, M. T. Britto, K. M. Hanna, P. J. Hollen, and M. M. Hudson
Prevention of Tobacco Use Among Medically At-risk Children and Adolescents: Clinical and Research Opportunities in the Interest of Public Health
J. Pediatr. Psychol., March 1, 2008; 33(2): 119 - 132.
[Abstract] [Full Text] [PDF]


Home page
Tobacco ControlHome page
C. Bancej, J. O'Loughlin, R. W Platt, G. Paradis, and A. Gervais
Smoking cessation attempts among adolescent smokers: a systematic review of prevalence studies
Tob. Control, December 1, 2007; 16(6): e8 - e8.
[Abstract] [Full Text] [PDF]


Home page
Behav ModifHome page
L. A. Jason, S. B. Pokorny, M. Adams, Y. Hunt, P. Gadiraju, T. Morello, M. Schoeny, and C. Dinwiddie
Youth Caught in Violation of Tobacco Purchase, Use, and Possession Laws: Education Versus Fines
Behav Modif, November 1, 2007; 31(6): 713 - 731.
[Abstract] [PDF]


Home page
Evid. Based Nurs.Home page
A. Jull
How to write a commentary an editor's perspective
Evid. Based Nurs., October 1, 2007; 10(4): 100 - 103.
[Full Text] [PDF]


Home page
PediatricsHome page
M. A. Hellems, M. J. Gurka, and G. F. Hayden
Statistical Literacy for Readers of Pediatrics: A Moving Target
Pediatrics, June 1, 2007; 119(6): 1083 - 1088.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
M. N. Hylkema, P. J. Sterk, W. I. de Boer, and D. S. Postma
Tobacco use in relation to COPD and asthma
Eur. Respir. J., March 1, 2007; 29(3): 438 - 445.
[Abstract] [Full Text] [PDF]


Home page
Arch Pediatr Adolesc MedHome page
G. J. Norman, M. A. Adams, K. J. Calfas, J. Covin, J. F. Sallis, J. S. Rossi, C. A. Redding, J. Cella, and K. Patrick
A Randomized Trial of a Multicomponent Intervention for Adolescent Sun Protection Behaviors
Arch Pediatr Adolesc Med, February 1, 2007; 161(2): 146 - 152.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
L. Pbert, K. E. Fletcher, A. J. Flint, M. H. Young, S. Druker, and J. DiFranza
Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews
Pediatrics, September 1, 2006; 118(3): e810 - e824.
[Abstract] [Full Text] [PDF]


Home page
Eval Health ProfHome page
C. Werch, J. L. Grenard, J. Burnett, J. A. Watkins, S. Ames, and E. Jobli
Translation as a Function of Modality: The Potential of Brief Interventions
Eval Health Prof, March 1, 2006; 29(1): 89 - 125.
[Abstract] [PDF]


Home page
Evid. Based Med.Home page
T. Lancaster
Clinician advice, an interactive computer program, and motivational counselling increased smoking cessation in teens
Evid. Based Med., October 1, 2005; 10(5): 144 - 144.
[Full Text] [PDF]


Home page
Evid. Based Nurs.Home page
D. Kingston
Clinician advice, an interactive computer program, and motivational counselling during routine medical visits increased reported smoking abstinence among teens
Evid. Based Nurs., October 1, 2005; 8(4): 105 - 105.
[Full Text] [PDF]

eLetters:

Read all eLetters

The efficacy of Transtheoretical Model expert systems in adolescents
Paul Aveyard, et al.
Pediatrics Online, 18 Jan 2006 [Full text]