{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:55:30Z","timestamp":1792799730076,"version":"4.5.0"},"reference-count":38,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,4,1]]},"abstract":"<jats:p>Objective. To test the long-term efficacy of brief counseling plus a computer-based tobacco intervention for teens being seen for routine medical care.<\/jats:p>\n               <jats:p>Methods. Both smoking and nonsmoking teens, 14 to 17 years of age, who were being seen for routine visits were eligible for this 2-arm controlled trial. Staff members approached teens in waiting rooms of 7 large pediatric and family practice departments within a group-practice health maintenance organization. Of 3747 teens invited at \u22651 visits, 2526 (67%) consented and were randomized to tobacco intervention or brief dietary advice. The tobacco intervention was individually tailored on the basis of smoking status and stage of change. It included a 30-second clinician advice message, a 10-minute interactive computer program, a 5-minute motivational interview, and up to two 10-minute telephone or in-person booster sessions. The control intervention was a 5-minute motivational intervention to promote increased consumption of fruits and vegetables. Follow-up smoking status was assessed after 1 and 2 years.<\/jats:p>\n               <jats:p>Results. Abstinence rates after 2 years were significantly higher for the tobacco intervention arm, relative to the control group, in the combined sample of baseline smokers and nonsmokers (odds ratio [OR]: 1.23; 95% confidence interval [CI]: 1.03\u20131.47). Treatment effects were particularly strong among baseline self-described smokers (OR: 2.42; 95% CI: 1.40\u20134.16) but were not significant for baseline nonsmokers (OR: 1.25; 95% CI: 0.97\u20131.61) or for those who had \u201cexperimented\u201d in the past month at baseline (OR: 0.95; 95% CI: 0.45\u20131.98).<\/jats:p>\n               <jats:p>Conclusions. Brief, computer-assisted, tobacco intervention during routine medical care increased the smoking cessation rate among self-described smokers but was less effective in preventing smoking onset.<\/jats:p>","DOI":"10.1542\/peds.2004-0981","type":"journal-article","created":{"date-parts":[[2005,4,1]],"date-time":"2005-04-01T18:03:40Z","timestamp":1112378620000},"page":"981-989","source":"Crossref","is-referenced-by-count":109,"title":["Teen Reach: Outcomes From a Randomized, Controlled Trial of a Tobacco Reduction Program for Teens Seen in Primary Medical Care"],"prefix":"10.1542","volume":"115","author":[{"given":"Jack F.","family":"Hollis","sequence":"first","affiliation":[{"name":"Center for Health Research, Kaiser Permanente, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Polen","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn P.","family":"Whitlock","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Lichtenstein","sequence":"additional","affiliation":[{"name":"Oregon Research Institute, Eugene, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Mullooly","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne F.","family":"Velicer","sequence":"additional","affiliation":[{"name":"University of Rhode Island, Kingston, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen A.","family":"Redding","sequence":"additional","affiliation":[{"name":"University of Rhode Island, Kingston, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2005,4,1]]},"reference":[{"key":"2021120819310013200_R1","doi-asserted-by":"crossref","unstructured":"McGinnis JM, Foege WH. 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