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NREPP SAMHSA'S National Registry of Evidence-based Programs and Practices
IMPORTANT LEGACY NOTICE: Legacy Programs have not been reviewed by the current National Registry of Evidence-based Programs and Practices (NREPP). The programs in this database were reviewed only under the previous National Registry of Effective Prevention Programs system. This section is intended to be used for historical reference only. If you would like more information about a program listed here, please contact the program developer directly. The program developer of each Legacy Program listed here agreed to post program information on this site.

Enough Snuff

Brief Program Description

Enough Snuff is a self-help tobacco-use cessation program designed for smokeless tobacco (SLT) users. This low-cost intervention can be delivered by mail and uses a manual and videotape, supplemented with telephone counseling. The program's 60-page manual and 20-minute videotape, which are mailed to participants, provide testimonials regarding specific reasons to quit, and techniques for quitting successfully. The telephone counseling, delivered by trained tobacco cessation counselors, offers SLT users support and motivation to quit, assistance with choosing a quit method, selecting a quit date, and techniques for dealing with withdrawal and relapse.

The program primarily has been tested with adult men 15 to 65 years of age, and has been delivered to diverse racial/ethnic groups in six states in the Northwest United States (Oregon, Washington, Idaho, Montana, Wyoming, Alaska). SLT users receiving the full Enough Snuff intervention (the manual, video and two counseling calls), had significantly higher quit rates for both smokeless tobacco and all tobacco use than SLT users who received the manual alone, or the video and manual.

Program Development Support

The program was developed under a grant from the National Cancer Institute (Grant No.CA 60586). We acknowledge the assistance of our dedicated telephone counselors and support staff, including Laura Akers, Maureen Barckley, Zoe Brady, Christine Cody, Kara Edson, Kerin Hoag, Cathy Milchak, Corin Nicholson, Catherine O'Leary, and Shari Reyna. Additional thanks go to Steve Christiansen and the InterVision Media for developing the video program.

Contact Information

For indepth information on this program, please use the contact listed below.

Program Developer

Herbert H. Severson, Ph.D.
Oregon Research Institute
1715 Franklin Boulevard
Eugene, OR 97403-1983
Phone: (541) 484-2123
Fax: (541) 484 1108
Email: herb@ori.org

In April 2003, this program was designated as an Effective Program under SAMHSA's previous National Registry of Effective Prevention Programs system.