Professor John Hughes Dept of Psychiatry, University of Vermont, USA
Abstract
Although meta-analyses have documented the efficacy of treatments for smoking cessation, and guidelines have outlined treatment elements, few algorithms for choosing among treatments have been described. The current algorithm updates the author's prior algorithm (JSAT, 2008).
This presentation will discuss the rationale and evidence for the major decisions in the algorithm; i.e., a) use a motivational treatment if the smoker is not currently interested in quitting, b) assess factors that influence choice of treatment, c) consider both gradual and abrupt cessation, d) use combined patch + gum/inhaler/lozenge or varenicline as first line medications, e) use individual, group, internet, and phone counseling as first line psychosocial treatments, and f) continue treatment after a lapse or relapse. Further research is needed to determine whether algorithms improve treatment outcomes.
Source of funding: None
Declaration of interest: John Hughes has received consulting and speaking fees from several for-profit and non-profit companies that develop or sell smoking cessation products or services and organizations that engage in tobacco education or advocacy.
