title: Computer and manual self-help behavioral strategies for smoking reduction: initial feasibility and one-year follow-up.
abstract: This study sought to test the feasibility of two self-help behavioral interventions to reduce and maintain a 50% reduction in smoking among those unable or unwilling to quit, and to evaluate the impact of smoking reduction on subsequent quit attempts. Ninety-three smokers who desired to reduce rather than quit smoking were entered in the study and randomly assigned to either computerized scheduled gradual reduction (CSGR) or to a manual-based selective elimination reduction (SER). Both groups produced significant reductions in smoking (approximately 10 cigarettes per day, during the 7-week treatment phase), which were maintained over one year. The CSGR group reported greater mean percent reductions in smoking from pre- to post-treatment (37% for CSGR, 20% for SER) and a greater percentage of subjects meeting the 50% reduction goal (30% for CSGR, 16% for SER) compared with the SER group. The groups were comparable, however, on all other outcome measures at post-treatment and at 6- and 12-month follow-up. Although subjects with a current desire for smoking cessation were excluded from this study, one-third of the subjects reported a 24-hour quit attempt in the year following study initiation, and 8.6% of the subjects met 7-day point-prevalence criteria for abstinence (CO validated) at the 12-month follow-up. The results of this study lend support to the feasibility of self-help behavioral interventions to produce sustained reductions in smoking rates without apparent negative impact on subsequent quit attempts.
authors.affiliation: Personal Improvement Computer Systems, Inc., Reston, VA 20191, USA. briley@lifesignusa.com
authors.forename: William
authors.initials: W
authors.lastname: Riley
authors.forename: Albert
authors.initials: A
authors.lastname: Jerome
authors.forename: Albert
authors.initials: A
authors.lastname: Behar
authors.forename: Jennifer
authors.initials: J
authors.lastname: Weil
mesh_terms: D000328:Adult; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011897:Random Allocation; D012657:Self-Help Groups; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention