Rc. Klesges et al., Efficacy of forced smoking cessation and an adjunctive behavioral treatment on long-term smoking rates, J CONS CLIN, 67(6), 1999, pp. 952-958
This study evaluated the efficacy of a 6-week forced ban on smoking and bri
ef behavioral counseling on long-term smoking rates. Participants were acti
ve-duty enrollees in U.S. Air Force basic military training over a 1-year p
eriod (N = 25,996). All participants were under a 6-week ban from tobacco p
roducts, and 75% were randomized to a brief smoking cessation intervention,
with the other 25% randomized to a control condition. At 1-year follow-up,
18% of smokers were abstinent; women, ethnic minorities, and those intendi
ng to stay quit at baseline were more likely to be abstinent. Among smokers
not planning to remain abstinent at baseline, those receiving the interven
tion were 1.73 times more likely to be abstinent. Over time, substantial sm
oking initiation occurred among nonsmokers (8% of never smokers, 26% of exp
erimental smokers, and 43% of ex-smokers). Forced cessation is associated w
ith good levels of long-term cessation, and brief behavioral interventions
enhance cessation in certain subgroups.