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We compared the counseling behaviors of two groups of health maintenance organization physicians: one group received training about smoking cessation counseling; the other group received the same training plus staff support and appointment time specially designated for follow-up of smokers. We interviewed patients after their office visits to measure smoking counseling. The group receiving staff support and designated follow-up time counseled more and made more follow-up appointments about smoking.

Staff involvement and special follow-up time increase physicians' counseling about smoking cessation: a controlled trial.