title: The effectiveness of a computer-tailored smoking cessation intervention for participants in lung cancer screening: a randomised controlled trial.
abstract: BACKGROUND
  Lung cancer screening might be a teachable moment for smoking cessation intervention. The objective was to investigate whether a tailored self-help smoking cessation intervention is more effective in inducing smoking cessation compared to a standard brochure in male smokers who participate in the Dutch-Belgian randomised controlled lung cancer screening trial (NELSON trial).
  
  
  METHODS
  Two random samples of male smokers who had received either a standard brochure (n=642) or a tailoring questionnaire for computer-tailored smoking cessation information (n=642) were sent a questionnaire to measure smoking behaviour two years after randomisation.
  
  
  RESULTS
  Twenty-three percent of the male smokers in the tailored information group returned a completed tailoring questionnaire and thus received the tailored advice. The prolonged smoking abstinence was slightly, but not statistically significant, lower amongst those randomised in the tailored information group (12.5%) compared with the brochure group (15.6%) (OR=0.77 (95%-CI: 0.56-1.06). The level of education and intention to quit smoking significantly predicted smoking cessation at follow-up (p<0.05). The majority of the respondents did not recall whether and which smoking cessation intervention they had received at randomisation after 2-years of follow-up.
  
  
  CONCLUSIONS
  The current study showed no advantage of tailored smoking cessation information over standard self-help information amongst male smokers with a long term smoking history who participate in a lung cancer screening trial after two years of follow-up. However, the low percentage participants who actually received the tailored advice limited the ability to find an advantage.
authors: Department of Public Health, Erasmus MC - University Medical Centre Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands. c.vanderaalst@erasmusmc.nl
authors: Carlijn M
authors: CM
authors: van der Aalst
authors: Harry J
authors: HJ
authors: de Koning
authors: Karien A M
authors: KA
authors: van den Bergh
authors: Marc C
authors: MC
authors: Willemsen
authors: Rob J
authors: RJ
authors: van Klaveren
mesh_terms: D055088:Early Detection of Cancer / Q000379:methods; D004522:Educational Status; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D011795:Surveys and Questionnaires