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A substantial proportion of smokers is able to abandon the use of tobacco simply with minimal guidance or direction without the need for expensive programmes involving physical participation. Among the strategies utilizable in providing guidance and direction in giving up smoking, the use of the Internet combines all the specific advantages of the mass media (some, also optimised) together with the particular advantages of face-to-face interaction. This paper presents the objectives, characteristics, performance and results of the Madrid City Council on-line programme, Giving up Smoking, a system which combines both automated interaction with the user and personal consultations via e-mail. After 9 months on the net, 868 (17.8 %) of 4865 subjects declared they were not smoking after the treatment period. In a posterior logistic regression analysis, four variables were identified as predicting the results: type of procedure employed, gender, self-efficacy expectative, and having previously been more than 3 months without smoking. The cost-effectiveness of procedures of this kind is an important issue, and some hypothesis on key issues determining its effectiveness are presented, and some possible improvements suggested.

El programa para dejar de fumar “on line” del Ayuntamiento de Madrid. Un estudio exploratorio