A review of computer and Internet-based interventions for smoking behavior

Scott T. Walters, Jo Anne Wright, Ross Shegog

Research output: Contribution to journalArticlepeer-review

159 Scopus citations


This article reviews studies of computer and Internet-based interventions for smoking behavior, published between 1995 and August 2004. Following electronic and manual searches of the literature, 19 studies were identified that used automated systems for smoking prevention or cessation, and measured outcomes related to smoking behavior. Studies varied widely in methodology, intervention delivery, participant characteristics, follow-up period, and measurement of cessation. Of eligible studies, nine (47%) reported statistically significant or improved outcomes at the longest follow-up, relative to a comparison group. Few patterns emerged in terms of subject, design or intervention characteristics that led to positive outcomes. The "first generation" format, where participants were mailed computer-generated feedback reports, was the modal intervention format and the one most consistently associated with improved outcomes. Future studies will need to identify whether certain patients are more likely to benefit from such interventions, and which pharmacological and behavioral adjuncts can best promote cessation.

Original languageEnglish
Pages (from-to)264-277
Number of pages14
JournalAddictive Behaviors
Issue number2
StatePublished - Feb 2006


  • Cessation
  • Computer
  • Internet
  • Intervention
  • Smoking


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