• Periodic health examinations are an excellent opportunity to counsel smokers to quit. The impact of a specialized smoking cessation counselor on the smoking behavior of patients having periodic health examinations was studied in a general internal medicine practice. One hundred fifty-five smokers having periodic health examinations were randomly assigned to a control group who received usual physician advice or an intervention group who received usual physician advice and two counseling sessions with a smoking cessation counselor. The two groups were similar in all demographic variables, smoking-related baseline variables, and baseline levels of motivation and intention to quit smoking. The smoking status of 97% of the subjects was assessed 6 months later. In the intervention group, 46% made quit attempts and 19% quit, compared with 34% and 12%, respectively, in the control group. Intervention-group smokers made more quit attempts (mean±SD, 5.0±2.5 vs 1.8±0.2) and had a greater reduction in daily cigarette use (8.4 ± 1.5 vs 3.5 ± 1.3). Of the 74% of smokers with higher levels of motivation to quit smoking, more intervention-group smokers attempted to quit (70.8% vs 45.5%) and succeeded in quitting at the 6-month follow-up (27.1% vs 10.9%). Periodic health examinations are an excellent opportunity to counsel smokers to quit, especially those smokers with higher levels of motivation to quit smoking.
(Arch Intern Med. 1989;149:1653-1656)
Bronson DL, Flynn BS, Solomon LJ, Vacek P, Secker-Walker RH. Smoking Cessation Counseling During Periodic Health Examinations. Arch Intern Med. 1989;149(7):1653–1656. doi:10.1001/archinte.1989.00390070159027
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