title: Results of the PAS Study: A Randomized Controlled Trial Evaluating the Effectiveness of a Web-Based Multiple Tailored Smoking Cessation Program Combined With Tailored Counseling by Practice Nurses.
abstract: This study investigated the effects of Web-based multiple computer tailoring and counseling by a practice nurse (MTC) compared with computer tailoring without counseling (MT) and usual care (UC) on smoking cessation rates, via a randomized controlled trial with 414 Dutch adult smokers, recruited by 91 practice nurses from May 2009 to June 2010. Logistic multilevel regression analyses were conducted with 24-hour point prevalence, 7-day point prevalence, and prolonged abstinence after 6 and 12 months as dependent variables and experimental condition as the independent variable. After 6 and 12 months, 38% and 56% of respondents were followed up, respectively. At both follow-ups, no main effects of the interventions could be identified when comparing them with care as usual and with each other-neither in analyses using available data nor in analyses using a negative scenario in which respondents lost to follow-up were considered to still be smoking. A Web-based multiple computer-tailored smoking cessation program combined with a single face-to-face counseling session by a practice nurse may not be more effective than this computer-tailored program alone or than usual smoking cessation care in the general practice setting. Yet before concluding that the addition of counseling to Web-based computer tailoring cannot be successful, more research needs to be conducted to identify the optimal number of counseling sessions to be combined with the Web-based program and to how to best attune the two modalities.
authors.affiliation: a Department of Communication Science, Amsterdam School of Communication Research/ASCoR , University of Amsterdam.|b CAPHRI/Department of Health Promotion , Maastricht University.
authors.forename: E S
authors.initials: ES
authors.lastname: Smit
authors.affiliation: c CAPHRI/Department of Methodology and Statistics , Maastricht University.
authors.forename: M J J M
authors.initials: MJ
authors.lastname: Candel
authors.affiliation: b CAPHRI/Department of Health Promotion , Maastricht University.
authors.forename: C
authors.initials: C
authors.lastname: Hoving
authors.affiliation: b CAPHRI/Department of Health Promotion , Maastricht University.
authors.forename: H
authors.initials: H
authors.lastname: de Vries
mesh_terms: D037001:Directive Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009722:Nurse Practitioners / Q000523:psychology*; D010353:Patient Education as Topic; D015397:Program Evaluation; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013997:Time Factors