What makes specialist the target support from specialist success rates, adjusting for key for an smoking quit clinics, treatment in groups smoker characteristics. There was effective stop cessation date, CO and varenicline or substantial variation in success smoking services verified combination NRT are more rates across intervention service? likely to succeed than those characteristics after adjusting for receiving treatment in smoker characteristics. Single NRT Smoking primary care, one-to-one and was associated with higher success Cessation single NRT. All smokers rates than no medication (OR 1.75, should have access to, and 95% CI 1.39 to 2.22); combination be encouraged to use, the NRT and varenicline were most effective intervention more successful than single NRT options. The most effective (OR 1.42, 95% CI 1.06 to 1.91 and of intervention are OR 1.78, 95% CI 1.57 to 2.02, uncommon, many services respectively); group support was do not offer the optimal linked to higher success rates than options. Smokers using the one-to-one support (OR 1.43, 95% more successful intervention CI 1.16 to 1.76); primary care options tend to be more settings were less successful than dependent, so higher success specialist clinics (OR 0.80, 95% CI rates are unlikely to be due 0.66 to 0.99). to an clientele. ‘easier’ Coleman T et Qualitative Long term on the totality of Qualitative research indicated + Include al ,2010 research cessation evidence, that there was no shared with 16 RPIs are expected to be understanding of what relapse Relapse health effective and cost-effective if prevention meant or the kinds of prevention in incorporated into routine interventions that should be UK Stop from treatment within the NHS used. SSS, SSS. While staff within the behavioural Smoking ‘Self-help’ Services: systematic NHS SSS were largely interventions delivered to review and favourably inclined towards abstainers who had achieved smokers economic providing RPIs, guidance abstinence unaided were recently quit analyses would be needed to effective for preventing relapse
What makes for an effective stop smoking service? Smoking Cessation specialist smoking cessation services the target quit date, CO verified support from specialist clinics, treatment in groups and varenicline or combination NRT are more likely to succeed than those receiving treatment in primary care, one-to-one and single NRT. All smokers should have access to, and be encouraged to use, the most effective intervention options. The most effective of intervention are uncommon, many services do not offer the optimal options. Smokers using the more successful intervention options tend to be more dependent, so higher success rates are unlikely to be due to an ‘easier’ clientele. success rates, adjusting for key smoker characteristics. There was substantial variation in success rates across intervention characteristics after adjusting for smoker characteristics. Single NRT was associated with higher success rates than no medication (OR 1.75, 95% CI 1.39 to 2.22); combination NRT and varenicline were more successful than single NRT (OR 1.42, 95% CI 1.06 to 1.91 and OR 1.78, 95% CI 1.57 to 2.02, respectively); group support was linked to higher success rates than one-to-one support (OR 1.43, 95% CI 1.16 to 1.76); primary care settings were less successful than specialist clinics (OR 0.80, 95% CI 0.66 to 0.99). Coleman T et al ,2010 Relapse prevention in UK Stop Smoking Services: smokers recently quit Qualitative research with 16 health from SSS, systematic review and economic analyses Long term cessation on the totality of evidence, RPIs are expected to be effective and cost-effective if incorporated into routine treatment within the NHS SSS. While staff within the NHS SSS were largely favourably inclined towards providing RPIs, guidance would be needed to Qualitative research indicated that there was no shared understanding of what relapse prevention meant or the kinds of interventions that should be used. ‘Self-help’ behavioural interventions delivered to abstainers who had achieved abstinence unaided were effective for preventing relapse + Include
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