A STAGE PARADIGM FOR INTEGRATING CLINICAL AND PUBLIC-HEALTH APPROACHES TO SMOKING CESSATION

Clinical interventions for the addictions typically generate the highe st abstinence rates but the lowest participation rates. Public health interventions reach the largest percentage of populations but have the lowest efficacy. Applying a stage paradigm to smoking cessation can i ntegrate the clinical and public health approach and generate unpreced ented impacts. Theoretical, empirical, and practical examples are prov ided for enhancing five issues in intervention: recruitment, retention , progress, process and outcomes.