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    What are the characteristics of effective smoking cessation treatment?
    Jonathan Foulds, PhD posted:
    Many smokers who have tried unsuccessfully to quit smoking on their own start to consider seeking help to quit. Of course a quick internet search reveals that there are plenty of treatments, clinics and gadgets out there on the market, professing to have the best treatment for nicotine addiction?.at a price. But let us assume that you are really serious about quitting smoking, and willing to attend a specialist service for treatment. What are the characteristics of treatment services that are associated with higher quit-rates?
    A study of this question was recently published by Dr Leonie Brose and colleagues at University College London. They examined the characteristics of services in the UK and the outcomes of 126,890 treatment episodes, in order to try to identify the most effective characteristics. They found that those treated at specialist smoking cessation services had higher quit rates compared with those treated at their family practice or pharmacy, and that those treated in group treatment also did better than those receiving individual counseling. They also found that quit rates were highest in those using combination nicotine replacement therapy (e.g. patch plus gum), or varenicline (Chantix), which were higher than a single NRT (eg patch only) as compared with those using no cessation medications.
    It is reassuring that these results are entirely consistent with the recommendations in the U.S. Clinical Practice Guideline for Tobacco Treatment, and also consistent with data published by colleagues working in tobacco treatment services in the USA.
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