Pilot test of an Internet virtual world chat room for rural teen smokers

This pilot study evaluated the acceptability and efficacy of an Internet-ba sed virtual reality "world" for teen smoking cessation. Rural teens at six school sites interacted in real-time in the virtual world with a trained ce ssation counselor and other teen smokers over a 2-month period in seven 1-h our chat sessions. The cessation counselor used motivational interviewing, a "client-centered" nonconfrontational approach to behavior change that has shown promise with behaviors resistant to change. Smoking behavior and att itudes were assessed at baseline, after intervention, and at 1-month follow -up. Significant changes were found in quitting, amount smoked, and intenti ons to quit. Positive trends were seen in past-week abstinence rates, quit attempts, and attitudes toward quitting. (C) Society for Adolescent Medicin e, 2001.