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This paper presents inital outcomes of a randomised controlled trial evaluating the efficacy of a self help intervention combining a quit smoking guide designed for older adults with a series of personalised computer tailored cessation messages. These messages were delivered through a state prescription plan, similar to the prescription and pharmacy benefit management plans widely used by managed care organisations to control pharmacy costs and improve appropriate drug use. Prescription plans offer a channel which is especially appropriate for older adults since they consume a disproportionate share of medications.1
A previous study showed that the Clear Horizons guide,2 targeted to the special quitting needs and barriers of older adults, was more …