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It is difficult to randomize to conditions, to control for “spillover” of media into control markets, or to determine how many people actually viewed a billboard or listened to a radio advertisement (ie, the “true denominator” ). For television advertising, gross rating points (GRPs) provide an estimate of the percentage of the target audience reached by an advertisement. Otherwise, evaluation relies on the number of individuals who make an initial call to a cessation program and on responses to questions such as “How did you hear of our program?” which may be affected by errors in recall when multiple media campaigns are running simultaneously.

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