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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Friday, July 14, 2006 - 12:00 PM

Acceptance and Use of a Computer Smoking Cessation Intervention by Different Groups of Smokers

Mark Zehner, MS1, Sandra J. Japuntich1, Stevens S. Smith, PhD1, Doug E. Jorenby, PhD1, Josť A. Valdez, MS2, Michael C. Fiore, MD, MPH1, Timothy B. Baker, PhD1, and David H. Gustafson, PhD2. (1) Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, 1930 Monroe Street, Suite 200, Madison, WI 53704, (2) Center for Health Systems Research and Analysis, University of Wisconsin, 11th floor WARF Bldg, 610 Walnut Street, Madison, WI 53726-2397

Objective: The purpose of this study is to investigate the acceptance and use of CHESS, an internet-based interactive health communication system for smoking cessation by different groups of smokers.

Methods: As part of a clinical trial designed to evaluate the efficacy of the Comprehensive Health Enhancement Support System (CHESS) Quitting Smoking for Life website, participants were assigned to receive ″brief″ treatment (BT) or BT plus access to CHESS for 90 days post-quit (BT+CHESS, n=140). BT consisted of bupropion SR pharmacotherapy for 9 weeks, three face-to-face counseling sessions and a quit smoking guide booklet. Use of the CHESS website was automatically tracked by the CHESS software and a Satisfaction Survey was administered at 12-weeks post-quit to BT+CHESS participants.

Results: Age and number of previous quit attempts were associated with differences in use of CHESS. Older smokers (≥46 yrs.) logged in more often (F, (1, 118) = 5.65, p=.02,) as did smokers who had made 5 or more previous quit attempts (F, (1, 118) = 4.41, p=.04). Other group differences based on gender, education, race, self-efficacy, dependence (FTND), and longest prior period of abstinence were not significant.

Negative feedback from users indicated frustration with finding time to login daily and being forced to complete a standard set of questions at each login. Much of the feedback was positive. Many users cited the breadth and depth of information and easy accessibility. User responses to what they liked most about the CHESS website varied, with no particular service or group of services consistently favored.