Multifaceted approach helps smokers quit

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					newsline0609.qxp                                              5/21/2009       5:10 PM      Page 15

                                                Multifaceted approach helps smokers quit
                                                BY TREATING smoking ag-                   at 24 months showed patients in
                                                gressively as a chronic, relapsing        the high-intensity arm had higher
                                                disease, clinicians can raise the         quit rates than those in the
                                                odds for success, a pair of studies       moderate-intensity group. When
                                                suggests.One gave patients a vari-        the groups were combined, they
                                                ety of cessation medications at           showed higher rates than patients
                                                the same time.The other investi-          who received no counseling calls
                                                gated the effect of supplementary         at all.
                                                counseling.                                 Meanwhile, another team re-
                                                  Researchers divided 750 people          cruited 127 smokers who had
                                                who smoked at least half a pack a         cancer, heart disease, or chronic
                                                day into three groups. The con-           obstructive pulmonary disease              After six              significantly longer in the combi-
                                                trols were given either a nicotine        (Ann Intern Med. 2009;150:447-             months, only           nation group (65 days vs.23 days).
                                                patch or bupropion.“Moderately            454). Participants were divided            19% of the               Attacking addiction via differ-
                                                intense” intervention added one           into two groups: One received              patch-only             ent mechanisms blends the pas-
                                                or two calls from addiction coun-         nicotine patches for standard 10-          group had              sive, continuous patch with the
                                                selors. A “high-intensity” group          week courses; the other was given          quit smoking.          shorter-term inhaler to respond to
                                                got the patch or bupropion and as         nicotine patches,nicotine inhalers,                               cravings.The combination group
                                                many as six counseling calls over         and bupropion. After six months,                                  was also told to continue their
                                                the course of two years (Ann Intern       35% of the combination group                                      medications for as long as they felt
                                                Med.2009;150:437-446).                    had quit smoking compared with                                    necessary. Consequently, they
                                                  Abstinence rates were assessed          19% of the patch-only arm. In ad-                                 could customize their treatment
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