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