Evid Based Nurs 8:105 doi:10.1136/ebn.8.4.105
  • Treatment

Clinician advice, an interactive computer program, and motivational counselling during routine medical visits increased reported smoking abstinence among teens

 Q Does an intervention comprising brief clinician advice during routine medical visits, an interactive computer program, and brief motivational counselling reduce smoking in adolescent smokers and non-smokers over the long term?



randomised controlled trial (Teen Reach programme).




blinded {data collectors and outcome assessors}.*

GraphicFollow up period:

1 and 2 years.


7 large paediatric and family practice departments in a group practice health maintenance organisation in Portland, Oregon and Vancouver, Washington, USA.


2526 adolescents 14–17 years of age (59% girls, 78% white) who were willing to stay after their clinician visit for about 15 minutes and did not intend to leave the geographic area in the next year.


1254 adolescents were allocated to the Teen Reach intervention, which comprised (1) a written prompt for primary care clinicians to encourage teens to quit smoking or to …

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