Abstract
This study attempted to evaluate a readily available comprehensive bibliotherapy smoking cessation program and the impact of smoking and nonsmoking behavior of a spouse on the individual to stop smoking. It provided a valuable source of client evaluation and stimulation for future investigation. The results suggest that motivation is an important variable in smoking cessation. Further, there is a need to develop a continuum of care to include: directed health education, self-administered treatment, therapist-administered group treatment, therapist-administered individual treatment, and detoxification coupled with continuing group support. Habit formation or resistance to change, and motivation may be primary factors in determining placement on this continuum. Finally, professional responsibility is important: What levels of success should a consumer and/or professional expect of a broadly available treatment program? What are the risks of failure?