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Health Promotion International Advance Access originally published online on January 28, 2005
Health Promotion International 2005 20(1):51-59; doi:10.1093/heapro/dah507
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© The Author 2005. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions{at}oupjournals.org

Efficacy of a smoking cessation intervention using the AHCPR guideline tailored for Koreans: a randomized controlled trial

JANG-RAK KIM1, MYOUNG-SOON LEE2, JIN-YONG HWANG3 and JONG DEOG LEE3

1Department of Preventive Medicine, College of Medicine, and Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea, 2Department of Social Medicine, School of Medicine, Sung Kyun Kwan University, Suwon, South Korea and 3Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, South Korea

Address for correspondence: Jang-Rak Kim, Department of Preventive Medicine, College of Medicine, Gyeongsang National University, 92 Chilam-Dong, Jinju, 660-751, South Korea E-mail: jrkim{at}nongae.gsnu.ac.kr

This study was undertaken to evaluate a tailored smoking cessation intervention, which is applicable to Korean culture, using the Agency for Health Care Policy and Research (AHCPR) guideline. On-site counselors provided brief nurse-assisted smoking cessation counseling, including follow-up telephone support, to prevent a relapse in 200 randomly assigned smoking patients. These patients were referred by their physicians regardless of their willingness in smoking cessation in the outpatient department at a university hospital. Nicotine replacement therapy was not provided. Another 201 patients served as a control. After 5 months, current smoking cessation was self-reported on the phone and validated later by a portable carbon monoxide analyzer. After 5 months, the participants in the intervention group were no more likely to quit smoking than the control group. A subgroup analysis by age showed that the intervention among 166 younger smokers (aged 49 or less) was significantly more likely to be effective {risk ratio = 5.76 [95% confidence interval (CI) 1.34–24.74]} than it was among 235 older smokers (aged 50 or more) [risk ratio = 1.03 (95% CI 0.53–1.99)]. This study suggests a smoking cessation intervention using the AHCPR guideline tailored for Koreans, is effective for assisting outpatients aged 49 or younger to quit smoking.

Key words: Korean; randomized controlled trial; smoking cessation


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