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?
METHODS
Design:
randomised controlled trial (Teen Reach programme).
Allocation:
{concealed}.*
Blinding:
blinded {data collectors and outcome assessors}.*
Follow up period:
1 and 2 years.
Setting:
7 large paediatric and family practice departments in a group practice health maintenance organisation in Portland, Oregon and Vancouver, Washington, USA.
Participants:
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.
Intervention:
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 …
