Abstract The development and pilot testing of an interactive videodisc-based smoking cessation program (IVD-SCP) are described. Designed for use in outpatient medical settings, the IVD-SCP was created in response to the need for efficacious, low-cost alternatives for assisting physicians in delivering smoking cessation interventions. Based on a successful intervention that utilized a linear video and nurse—counselor, the system takes advantage of the “teachable moment” that occurs when a physician advises a patient to stop smoking. After receiving a brief (30-s) message on the advisability of stopping smoking, the patient is directed by the physician to use the IVD-SCP. Only a touchscreen monitor and printer are visible. Activated by a touch on the screen, the system presents a complete intervention, tailored to the individual user's characteristics and needs, and ends by printing a personalized quit plan. Pilot-tested with 27 patients in family practice medical offices, the IVD-SCP was well received by patients. Ratings of the system's utility and ease of use were high, and 70% of the users set quit dates, although none were abstinent at 3 months postintervention.