Cue restricted smoking increases quit rates with varenicline
| Autor: | Bianca Boura Bellini, Juliana Rocha Santos, Paulo C. Jr. de Lima Santos, Iana R. A. de Moraes, Tania O. Abe, Jaqueline Scholz, Serena Tonstad, Patricia Viviane Gaya, Paulo Roberto Xavier Tomaz |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) Epidemiology medicine.medical_treatment Stimulus (physiology) Audiology behavioral technique Health Professions (miscellaneous) Nicotine chemistry.chemical_compound target quit day medicine Varenicline Nicotine dependence nicotine dependence Blocking (radio) business.industry Public Health Environmental and Occupational Health medicine.disease smoking cessation varenicline chemistry behavior and behavior mechanisms Smoking cessation Public aspects of medicine RA1-1270 business Research Paper medicine.drug |
| Zdroj: | Tobacco Prevention and Cessation, Vol 7, Iss May, Pp 1-10 (2021) Tobacco Prevention & Cessation |
| ISSN: | 2459-3087 |
| Popis: | Introduction Varenicline effectively helps smokers quit by reducing withdrawal symptoms and blocking the reward of smoking. However, most quitters return to smoking within one year. ‘Cue Restricted Smoking’ is a behavioral technique designed to increase quit rates by asking smokers attempting to quit to restrict smoking to the standing position, while alone, in an isolated area facing a wall, with the cigarette as the only stimulus. Methods Using retrospective clinic records we compared quit rates in 281 smokers (50% males) instructed in the cue restricted smoking cessation method during 2016–2018 to quit rates in 324 smokers (46% males) advised to completely stop smoking on the target quit date which we previously used during 2011–2014. All were prescribed varenicline for 12 weeks alone, with the addition of bupropion if needed after 4 weeks. Follow-up consisted of behavioral support at 4–6 visits during active drug treatment and telephone counselling at 24 and 52 weeks. The smoking cessation rate was confirmed with exhaled carbon monoxide at the clinic visit at 12 weeks and only by telephone at 52 weeks. Results The mean age of smokers was 49 years in both groups and the number of cigarettes smoked daily was similar (18/day in the cue restricted vs 19/day in the target quit day group). The smoking cessation rate at 12 weeks was 75% in the cue restricted versus 45% in the target quit day group (relative risk, RR=1.8; 95% CI: 1.4–2.2, p |
| Databáze: | OpenAIRE |
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