Factors associated with nonparticipation among registrants for a self-help, community-based smoking cessation...

Smokers (n = 96) who registered for but did not participate in a televised smoking cessation intervention based on the American Lung Association's self-help manual, Freedom From Smoking in 20 Days, were compared with participants (n = 1,035). Nonparticipants were more likely to be male, employed, and have a higher annual household income. At preintervention, nonparticipants expressed weaker desire to quit smoking, less confidence in their ability to quit, and less determination to quit. At post-program, 92% of nonparticipants smoked, but 93% planned to quit someday, with 82% planning to quit within the next 12 months. Additionally, nonparticipants were asked about their impressions of the manual, reasons for not reading the manual, and reasons for not watching the televised segments. Nonparticipants expressed positive initial impressions of the manual and mentioned time demands and conflicts with other commitments most often as reasons for not reading the manual and not watching the televised segments. Besides motivating smokers to try to quit, smoking cessation programs should help smokers to prepare to act. Also, nonparticipants are good candidates for recycling into subsequent programs.