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The study takes up two problems: 1) Little research exists about general population interventions for smokers not ready to quit within the foreseeable future. 2) There is little evidence for smoking reduction as a behavioural goal in interventions. Interventions based on the Transtheoretical Model of Behavior Change (TTM) using computer expert-system technology yield delayed and smaller effects in smokers in the precontemplation stage of change compared to smokers in more advanced stages of change. Reducing the number of cigarettes smoked per day is currently discussed as an intermediate goal for this subgroup. Epidemiological and clinical studies revealed that smokers are able to maintain a substantial reduction. No undermining effects with respect to smoking cessation have been found. However, there are no studies that test the efficacy of behavioural interventions for smoking reduction using population based recruitment. Objectives: Testing the efficacy of TTM based interventions for general population smokers not intending to quit smoking, i.e. a smoking-reduction and a smoking-cessation tailored intervention using computerized expert-system technology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Experimental |
| |
| 3 | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Smoking abstinence oriented expert system intervention | Behavioral | Participants received up to three counselling letters targeting smoking cessation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Point prevalence of tobacco abstinence | 24 hours, 7 days, 4 weeks, 6 months preceeding the 12 and 24 month follow-up assessments |
| Measure | Description | Time Frame |
|---|---|---|
| number of Cigarettes smoked per day | 4 weeks preceeding follow-up assessment | |
| number of quit and cutdown attempts | last 12 months preceeding follow-up assessment | |
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Inclusion Criteria:
Exclusion Criteria:
- Insufficient german language and cognitive capabilities to complete the assessment
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| Name | Affiliation | Role |
|---|---|---|
| Christian Meyer, Dr. | Ernst-Moritz-Arndt-University of Greifswald, Institute of Epidemiology and Social Medicine | Principal Investigator |
| Ulrich John, Prof. Dr. | Ernst-Moritz-Arndt-University of Greifswald, Institute of Epidemiology and Social Medicine | Study Director |
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| ID | Term |
|---|---|
| D000073869 | Tobacco Smoking |
| D000074264 | Smoking Reduction |
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D012907 | Smoking |
| D001519 | Behavior |
| D064424 | Tobacco Use |
| D015438 | Health Behavior |
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| Smoking reduction oriented expert system intervention | Behavioral | Participants received up to three counselling letters targeting smoking reduction |
|
| Stages of change progress |
| at 12 and 24 months follow-up |