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Multimodal techniques for smoking cessation: a review of their efficacy and utilisation and clinical practice guidelines

Multimodal techniques for smoking cessation: a review of their efficacy and utilisation and clinical practice guidelines
Multimodal techniques for smoking cessation: a review of their efficacy and utilisation and clinical practice guidelines
Aims: Nicotine addiction is a complex, chronic condition with physiological and psychological/behavioural aspects that make smoking cessation extremely difficult. This paper reviews current recommendations for smoking cessation and the efficacy of pharmacotherapy and behavioural modification techniques, used either alone or in combination, for smoking cessation.

Results: Abstinence rates for pharmacotherapies range from 16% to 30% at 1-year follow-up, with efficacy odds ratios (ORs) compared with placebo of 1.7 for nicotine replacement therapy (NRT), 1.9 for bupropion sustained release and 3.0 for varenicline. Behaviour modification therapies have achieved quit rates of between 8% and 43% for up to 1 year, with ORs in comparison to no treatment of between 1.2 and 2.2. No direct comparisons have been made between pharmacotherapy alone and psychological behaviour strategies alone. However, combining physiological approaches with counselling significantly increases the odds of quitting compared with either technique alone.

Conclusions: Applying multimodal techniques for the treatment of nicotine addiction is the recommended approach and has demonstrated the potential to improve rates of permanent abstinence in smokers attempting cessation. While the numbers of patients receiving help and advice regarding smoking cessation is increasing, the multimodal approach appears to be currently underutilised by clinicians and therefore smoking cessation strategies are not being optimised.
1730-1735
Reus, Victor I.
dd60ce7f-7d27-406d-9afc-89a4043e1caa
Smith, Brenda J.
0ba35a30-8bbf-4821-8fff-0433475d0390
Reus, Victor I.
dd60ce7f-7d27-406d-9afc-89a4043e1caa
Smith, Brenda J.
0ba35a30-8bbf-4821-8fff-0433475d0390

Reus, Victor I. and Smith, Brenda J. (2008) Multimodal techniques for smoking cessation: a review of their efficacy and utilisation and clinical practice guidelines. International Journal of Clinical Practice, 62 (11), 1730-1735. (doi:10.1111/j.1742-1241.2008.01885.x). (PMID:18795968)

Record type: Article

Abstract

Aims: Nicotine addiction is a complex, chronic condition with physiological and psychological/behavioural aspects that make smoking cessation extremely difficult. This paper reviews current recommendations for smoking cessation and the efficacy of pharmacotherapy and behavioural modification techniques, used either alone or in combination, for smoking cessation.

Results: Abstinence rates for pharmacotherapies range from 16% to 30% at 1-year follow-up, with efficacy odds ratios (ORs) compared with placebo of 1.7 for nicotine replacement therapy (NRT), 1.9 for bupropion sustained release and 3.0 for varenicline. Behaviour modification therapies have achieved quit rates of between 8% and 43% for up to 1 year, with ORs in comparison to no treatment of between 1.2 and 2.2. No direct comparisons have been made between pharmacotherapy alone and psychological behaviour strategies alone. However, combining physiological approaches with counselling significantly increases the odds of quitting compared with either technique alone.

Conclusions: Applying multimodal techniques for the treatment of nicotine addiction is the recommended approach and has demonstrated the potential to improve rates of permanent abstinence in smokers attempting cessation. While the numbers of patients receiving help and advice regarding smoking cessation is increasing, the multimodal approach appears to be currently underutilised by clinicians and therefore smoking cessation strategies are not being optimised.

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More information

e-pub ahead of print date: 15 September 2008
Published date: November 2008
Organisations: Psychology

Identifiers

Local EPrints ID: 391023
URI: http://eprints.soton.ac.uk/id/eprint/391023
PURE UUID: 7b964e2e-d31f-4bb6-a909-bf65da81433b

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Date deposited: 08 Apr 2016 11:25
Last modified: 14 Mar 2024 23:25

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Contributors

Author: Victor I. Reus
Author: Brenda J. Smith

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