title: Randomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation.
abstract: OBJECTIVE
  Evaluation of novel treatment delivery methods, such as the Internet are notably absent from the adolescent smoking treatment literature.
  
  
  METHODS
  Adolescent smokers ages 11-18 years were randomized to a clinic-based, brief office intervention (BOI; N=69) consisting of four individual counseling sessions; or to Stomp Out Smokes (SOS), an Internet, home-based intervention (N=70). Adolescents in SOS had access to the SOS site for 24 weeks.
  
  
  RESULTS
  The 30-day, point-prevalence smoking abstinence rates for BOI and SOS were 12% versus 6% at week 24 and 13% versus 6% at week 36, with no significant treatment differences. Among participants who continued to smoke, SOS was associated with a significantly greater reduction in average number of days smoked than BOI (P=0.006). The BOI was found to be feasible with high session attendance rates. SOS participants accessed the site a mean+/-S.D. of 6.8+/-7.1 days. SOS use dropped to less than one-third of participants by week 3.
  
  
  CONCLUSIONS
  Additional research is needed to tap the potential capabilities of the Internet for adolescent smoking cessation using proactive, personalized, patient-education components.
  
  
  CONCLUSIONS
  Augmenting the SOS type of intervention with more structured, personal and proactive patient-education components delivered in-person or by telephone or electronic mail is recommended.
authors.affiliation: Mayo Clinic College of Medicine, Department of Psychiatry & Psychology, Rochester, MN 55905, USA. patten.christi@mayo.edu
authors.forename: Christi A
authors.initials: CA
authors.lastname: Patten
authors.forename: Ivana T
authors.initials: IT
authors.lastname: Croghan
authors.forename: Tracy M
authors.initials: TM
authors.lastname: Meis
authors.forename: Paul A
authors.initials: PA
authors.lastname: Decker
authors.forename: Suzanne
authors.initials: S
authors.lastname: Pingree
authors.forename: Robert C
authors.initials: RC
authors.lastname: Colligan
authors.forename: Ellen A
authors.initials: EA
authors.lastname: Dornelas
authors.forename: Kenneth P
authors.initials: KP
authors.lastname: Offord
authors.forename: Eric W
authors.initials: EW
authors.lastname: Boberg
authors.forename: Rhonda K
authors.initials: RK
authors.lastname: Baumberger
authors.forename: Richard D
authors.initials: RD
authors.lastname: Hurt
authors.forename: David H
authors.initials: DH
authors.lastname: Gustafson
mesh_terms: D000293:Adolescent; D002648:Child; D003197:Computer Literacy; D003194:Computer-Assisted Instruction / Q000379:methods* / Q000592:standards; D003237:Connecticut / Q000453:epidemiology; D003863:Depression / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D020407:Internet / Q000458:organization & administration*; D008297:Male; D008910:Minnesota / Q000453:epidemiology; D017145:Models, Educational; D009819:Office Visits; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000458:organization & administration*; D015995:Prevalence; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014922:Wisconsin / Q000453:epidemiology