title: Feasibility of a Spanish/English computerized decision aid to facilitate smoking cessation efforts in underserved communities.
abstract: BACKGROUND
  People with poor access to medical care are more likely to smoke but are less likely to receive nicotine dependence treatment.
  
  
  OBJECTIVE
  To assess preliminary outcomes of a computer-based, bilingual smoking cessation decision-aid to facilitate utilization of resources.
  
  
  METHODS
  A computer kiosk with a smoking cessation decision-aid was integrated at three safety-net clinics and two health fairs. The kiosk queries participants about smoking behaviors, guides them to set a quit date and select treatment, provides printed materials, and prompts fax-referral to quitline.
  
  
  RESULTS
  Among the 163 smokers referred to the kiosk, 78.5% participated in the study and 30% completed the kiosk in Spanish. Few had previously used cessation resources. During completion of the decision-aid, 95.3% requested pharmacotherapy, and 70.3% opted for counseling. Among those reached for two-month follow-up (69.5%), 20.2% reported they had quit smoking.
  
  
  CONCLUSIONS
  Spanish/English computerized decision aids are feasible and can facilitate the use of effective treatments for smoking cessation among underserved smokers.
authors.affiliation: University of Kansas Medical Center, Department of Preventive Medicine and Public Health, Kansas City, Kansas, USA.
authors.forename: A Paula
authors.initials: AP
authors.lastname: Cupertino
authors.forename: Kimber
authors.initials: K
authors.lastname: Richter
authors.forename: Lisa Sanderson
authors.initials: LS
authors.lastname: Cox
authors.forename: Susan
authors.initials: S
authors.lastname: Garrett
authors.forename: Rigoberto
authors.initials: R
authors.lastname: Ramirez
authors.forename: Fernando
authors.initials: F
authors.lastname: Mujica
authors.forename: Edward F
authors.initials: EF
authors.lastname: Ellerbeck
mesh_terms: D000328:Adult; D003201:Computers; D003661:Decision Support Techniques; D005240:Feasibility Studies; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D019303:Multilingualism; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention