Counseling Demonstrates a Dose-Response Effect/Comes in Many Forms

  • Brief advice during a “window of opportunity” can increase quit attempts by 40%
  • Medication combined with counseling doubles the success rate
  • Quitlines: proactive fax to quitline most effective
  • Online (becomeanex.org, smokefree.gov, mylastdip.com)
  • Cooper Clayton Classes at many local health departments; schedules and provision of medication varies
  • I-Phone apps/text to quit

Tailoring NRT to the tobacco user

  • Studies show efficacy in smokers and smokeless tobacco users (Ebbert, et al, 2010)
  • Combining patch with shorter acting form of NRT has been shown to be safe and effective (Stead, et al, Cochrane Review, 2008; Kozlowski, et al, 2007)
  • Extended use of NRT or other medications is being shown to reduce relapse rates (Schnoll, et al, 2010)
  • High dose NRT is safe and effective for heavy smokers (Fredrickson, et al, 1995)

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Notes/Citation Information

A presentation at the Leadership Exchange Conference, Lexington, KY.