New clinical methods to motivate smokers to make a quit attempt
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Presenter(s)
Professor John Hughes Department of Psychiatry, University of Vermont, USA
Abstract
Despite tobacco control efforts, the incidence of quit attempts in the US is not decreasing. Many quit attempts are impulsive, perhaps due to the cumulative effects of prompts. Social support is likely important to prompt attempts, but difficult to operationalize in a treatment. Proactive cold calls are surprisingly effective. Reduction in cigs/day is an effective alternative to advice or motivational interviewing to prompt quit attempts. Practice quit attempts may be effective. Whether continuing NRT after a lapse or reducing after a lapse increases the probability of later quitting is unclear. NRT for temporary abstinence appears to increase, not decrease, future quitting.
Source of funding: None
Declaration of interest: Dr Hughes's past and current research has been supported by grants from the US National Institute of Health (90%) and pharmaceutical companies (10%). He has received fees from almost all of the companies who develop smoking cessation devices, medications and services, from governmental and academic institutions, and from public and private organizations that promote tobacco control.
