This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (178)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Douglas M. Wilson, MD; D. Wayne Taylor, MA; J. Raymond Gilbert, MD; J. Allan Best, PhD; Elizabeth A. Lindsay, PhD; Dennis G. Willms, PhD; Joel Singer, PhD

JAMA. 1988;260(11):1570-1574.

Abstract
We assessed the impact of three conditions on one-year smoking cessation rates. Physicians in 70 community general practices were randomly allocated by practice to one of three groups: In the usual care group, smoking patients were to receive the care they normally would receive. In the gum only group, physicians were asked to speak to patients about smoking cessation and offer nicotine gum. In the gum plus group, physicians were trained in the experimental intervention. This intervention involved advice to stop smoking, the setting of a quit date, the offer of nicotine gum, and four follow-up visits. Smoking cessation was measured by self-report after one year and validated using saliva cotinine measures. Using a criterion of at least three months of abstinence, 8.8% of the patients of the trained physicians had stopped smoking at the one-year follow-up compared with 4.4% and 6.1% of the patients in the usual care and gum only groups, respectively.

(JAMA 1988;260:1570-1574)

Author Affiliations
From the Departments of Family Medicine (Drs Wilson, Gilbert, Lindsay, and Singer) and Clinical Epidemiology and Biostatistics (Mr Taylor and Drs Gilbert and Best), McMaster University, Hamilton, Ontario; and the Departments of Health Studies (Drs Best and Wilms) and Anthropology (Dr Wilms), University of Waterloo (Ontario).

Footnotes
Reprint requests to Department of Family Medicine, McMaster University Medical Centre, Room 2V14,1200 Main St W, Hamilton, Ontario, Canada L8N 3Z5 (Dr Wilson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Continuing Medical Education Effect on Clinical Outcomes: Effectiveness of Continuing Medical Education: American College of Chest Physicians Evidence-Based Educational Guidelines
Mazmanian et al.
Chest 2009;135:49S-55S.
ABSTRACT | FULL TEXT  

Perception, Intention, and Action in Adolescent Obesity
Bittner Fagan et al.
J Am Board Fam Med 2008;21:555-561.
ABSTRACT | FULL TEXT  

Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews
Pbert et al.
Pediatrics 2006;118:e810-e824.
ABSTRACT | FULL TEXT  

Publishing Multimethod Research
Stange et al.
Ann Fam Med 2006;4:292-294.
FULL TEXT  

Knowing how to help tobacco users: Dentists' familiarity and compliance with the clinical practice guideline
Hu et al.
Journal of the American Dental Association 2006;137:170-179.
ABSTRACT | FULL TEXT  

Preventing and detecting oral cancer: Oral health care providers' readiness to provide health behavior counseling and oral cancer examinations
CRUZ et al.
Journal of the American Dental Association 2005;136:594-601.
ABSTRACT | FULL TEXT  

A study of smoking and smoking cessation on the curricula of UK medical schools
Roddy et al.
Tobacco Control 2004;13:74-77.
ABSTRACT | FULL TEXT  

Pediatrician Self-Efficacy for Counseling Parents of Asthmatic Children to Quit Smoking
Cabana et al.
Pediatrics 2004;113:78-81.
ABSTRACT | FULL TEXT  

The Evolution of Cancer Control Research: An International Perspective from Canada and the United States
Best et al.
Cancer Epidemiol. Biomarkers Prev. 2003;12:705-712.
ABSTRACT | FULL TEXT  

The State of Office-Based Interventions for Youth Tobacco Use
Pbert et al.
Pediatrics 2003;111:e650-660.
ABSTRACT | FULL TEXT  

Continuing Medical Education and the Physician as a Learner: Guide to the Evidence
Mazmanian and Davis
JAMA 2002;288:1057-1060.
FULL TEXT  

Efficacy of Resident Training in Smoking Cessation: A Randomized, Controlled Trial of a Program Based on Application of Behavioral Theory and Practice with Standardized Patients
Cornuz et al.
ANN INTERN MED 2002;136:429-437.
ABSTRACT | FULL TEXT  

Modifiable Cardiovascular Risk Factors in Adults With Diabetes: Prevalence and Missed Opportunities for Physician Counseling
Egede and Zheng
Arch Intern Med 2002;162:427-433.
ABSTRACT | FULL TEXT  

Delivery of Smoking Prevention and Cessation Services to Adolescents
Klein et al.
Arch Pediatr Adolesc Med 2001;155:597-602.
ABSTRACT | FULL TEXT  

Provider Education To Promote Implementation of Clinical Practice Guidelines
Ockene and Zapka
Chest 2000;118 :33S-39S.
ABSTRACT | FULL TEXT  

Barriers Pediatricians Face When Using Asthma Practice Guidelines
Cabana et al.
Arch Pediatr Adolesc Med 2000;154:685-693.
ABSTRACT | FULL TEXT  

ALCOHOL EDUCATION FOR GENERAL PRACTITIONERS IN THE UNITED KINGDOM -- A WINDOW OF OPPORTUNITY?
McAVOY
Alcohol Alcohol 2000;35:225-229.
ABSTRACT | FULL TEXT  

How Does Physician Advice Influence Patient Behavior?: Evidence for a Priming Effect
Kreuter et al.
Arch Fam Med 2000;9:426-433.
ABSTRACT | FULL TEXT  

Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement
Cabana et al.
JAMA 1999;282:1458-1465.
ABSTRACT | FULL TEXT  

Firearm Injury Prevention Counseling: Are We Missing the Mark?
Becher and Christakis
Pediatrics 1999;104:530-535.
ABSTRACT | FULL TEXT  

Opening the window of opportunity: encouraging patients to stop smoking
RICHMOND
Heart 1999;81:456-458.
FULL TEXT  

Teaching medical students about tobacco
Richmond
Thorax 1999;54:70-78.
FULL TEXT  

Provider Training for Patient-Centered Alcohol Counseling in a Primary Care Setting
Ockene et al.
Arch Intern Med 1997;157:2334-2341.
ABSTRACT  

Putting Prevention Into Practice: Impact of a Multifaceted Physician Education Program on Preventive Services in the Inner City
Gemson et al.
Arch Intern Med 1995;155:2210-2216.
ABSTRACT  

Changing Physician Performance: A Systematic Review of the Effect of Continuing Medical Education Strategies
Davis et al.
JAMA 1995;274:700-705.
ABSTRACT  

The role of physicians in combatting the growing health crisis of tobacco-induced death and disease in the People's Republic of China
Jing Jie Yu et al.
Global Health Promotion 1995;2:23-30.
 

Physicians and Smoking Cessation: A Survey of Office Procedures and Practices in the Community Intervention Trial for Smoking Cessation
Lindsay et al.
Arch Fam Med 1994;3:341-348.
ABSTRACT  

Nicotine Patch Therapy for Smoking Cessation Combined With Physician Advice and Nurse Follow-up: One-Year Outcome and Percentage of Nicotine Replacement
Hurt et al.
JAMA 1994;271:595-600.
ABSTRACT  

Settings as an Important Dimension in Health Education/Promotion Policy, Programs, and Research
Mullen et al.
Health Educ Behav 1994;22:329-345.
ABSTRACT  

Cigarette Smoking, Nicotine Addiction, and Its Pharmacologic Treatment
Lee and D'Alonzo
Arch Intern Med 1993;153:34-48.
ABSTRACT  

Tobacco Dependence and the Nicotine Patch: Clinical Guidelines for Effective Use
Fiore et al.
JAMA 1992;268:2687-2694.
ABSTRACT  

Evidence for the Effectiveness of CME: A Review of 50 Randomized Controlled Trials
Davis et al.
JAMA 1992;268:1111-1117.
ABSTRACT  

Smoking Cessation: Putting Prevention Into Practice
Houston
Arch Fam Med 1992;1:128-135.
ABSTRACT  

Provision of smoking cessation help by primary care teams in Oxfordshire
Mindell and Pengilley
Health Education Journal 1992;51:162-165.
ABSTRACT  

Clinical Interventions in Tobacco Control: A National Cancer Institute Training Program for Physicians
Manley et al.
JAMA 1991;266:3172-3173.
ABSTRACT  

The New Vital Sign: Assessing and Documenting Smoking Status
Fiore
JAMA 1991;266:3183-3184.
ABSTRACT  

Long-term Use of Nicotine vs Placebo Gum
Hughes et al.
Arch Intern Med 1991;151:1993-1998.
ABSTRACT  

"The Facts Concerning the Recent Carnival of Smoking in Connecticut" and Elsewhere
Williams et al.
ANN INTERN MED 1991;115:59-63.
ABSTRACT  

Treatment for Cigarette Smoking in a Department of Veterans Affairs Outpatient Clinic
Weissfeld and Holloway
Arch Intern Med 1991;151:973-977.
ABSTRACT  

Methods of Smoking Cessation--Finally, Some Answers
Glynn
JAMA 1990;263:2795-2796.
ABSTRACT  

Training Physicians in Counseling about Smoking Cessation: A Randomized Trial of the "Quit for Life" Program
Cummings et al.
ANN INTERN MED 1989;110:640-647.
ABSTRACT  

Nicotine vs Placebo Gum in General Medical Practice
Hughes et al.
JAMA 1989;261:1300-1305.
ABSTRACT  

Smoking Counseling and Preventive Medicine: A Survey of Internists in Private Practices and a Health Maintenance Organization
Cummings et al.
Arch Intern Med 1989;149:345-349.
ABSTRACT  

NICOTINE GUM HELPS SOME (BUT ONLY SOME) SMOKERS QUIT
JWatch General 1988;1988:1-1.
FULL TEXT