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report that the biochemical tools for measuring adherence were themselves motivating: witnessing improved carbon monoxide levels and/or receiving related praise from the smoking cessation counsellors was perceived to increase confidence and was thus perceived as facilitating efforts: Its just more of a moral support I think really and checking your carbon levels and once you realise youve done good, you know, it boosts your confidence to keep, keep not smoking, do you know what I mean? [22]

Relatively few people (approximately 10 percent of past year initiates) tried cigarettes for the first time after age 25