title: Impact of a brief motivational smoking cessation intervention the Get PHIT randomized controlled trial.
abstract: BACKGROUND
  Few studies have rigorously evaluated whether providing biologically based health-risk feedback is more effective than standard interventions in increasing smokers' motivation to quit and their long-term abstinence.
  
  
  METHODS
  An RCT was conducted from 2005 to 2008. Data were analyzed in 2008.
  
  
  METHODS
  Smokers (N=536) were recruited from the community, regardless of their interest in quitting smoking.
  
  
  METHODS
  Smokers either received brief ( approximately 20 minutes), personally tailored counseling sessions based on their lung functioning, carbon monoxide (CO) exposure, and smoking-related health conditions, or they received generic smoking-risk information and personalized counseling about their diet, BMI, and physical activity. All were advised to quit smoking and were offered access to a free phone-counseling program.
  
  
  METHODS
  Treatment utilization and abstinence at 6 and 12 months post-intervention.
  
  
  RESULTS
  Participants who received the experimental treatment demonstrated no greater motivation to quit, use of treatment services, or abstinence compared to controls at either follow-up assessment. In fact, controls reported greater motivation to quit at 12 months (M 3.42 vs 3.20, p=0.03), greater use of pharmacotherapy at 6 months (37.8% vs 28.0%, p=0.02), and greater 30-day point prevalent abstinence at 6 months, after controlling for relevant covariates (10.8% vs 6.4%, adjusted p=0.04).
  
  
  CONCLUSIONS
  The present study found no support for adding a personalized health-risk assessment emphasizing lung health and CO exposure to generic cessation advice and counseling for community-based smokers not otherwise seeking treatment.
  
  
  BACKGROUND
  NCT00169260.
authors.affiliation: Group Health Center for Health Studies, Seattle, Washington, USA. mcclure.j@ghc.org
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: McClure
authors.forename: Evette J
authors.initials: EJ
authors.lastname: Ludman
authors.forename: Louis
authors.initials: L
authors.lastname: Grothaus
authors.forename: Chester
authors.initials: C
authors.lastname: Pabiniak
authors.forename: Julie
authors.initials: J
authors.lastname: Richards
mesh_terms: D000328:Adult; D002248:Carbon Monoxide; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012129:Respiratory Function Tests; D018570:Risk Assessment / Q000379:methods; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D013689:Telephone
chemical_list: D002248:Carbon Monoxide