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Expert assesses lessons from 12 years of anti-smoking efforts
It has been 12 years since the U.S. Public Health Service (PHS) issued its
first “Clinical Practice Guideline — Treating Tobacco Use and Dependence.”
Yale psychiatrist Stephanie O’Malley played a key role in developing
the 2008 guidelines, which were released by the PHS in Chicago on May 7.
O’Malley, director of the Center for Nicotine and Tobacco Use Research
at Yale, has reviewed some of the lessons learned in more than a decade of
research that went into the guidelines, and offered some insight into what
helps people quit.
Although tobacco prevention programs have been successful in reducing the percentage
of people who smoke, much more needs to be done, she argues.
Here, says O’Malley, are some of the major lessons gleaned from recent
research:
• Effective treatments exist that significantly improve the odds that a
person will successfully quit smoking. Two new approaches that appear to be particularly
effective are the drug varenicline and combinations of medications, such as nicotine
gum and nicotine patch, she says. O’Malley is currently investigating other
combination therapies that may help reduce weight gain associated with quitting
in order to remove this barrier to smoking cessation.
• Telephone quitline counseling is effective, she notes. Connecticut has
a quitline that is free to the public and offers up to four to five phone treatment
sessions, recommendations on the medications, and a series of Quit Guides. The
toll-free phone number for the quitline is (866) 363-4224.
• Counseling and medication are effective alone but more effective together,
says O’Malley, adding that for this reason, smokers should be encouraged
to use both.
• Providing insurance coverage for tobacco dependence increases the likelihood
that a tobacco user will receive treatment and quit successfully. All insurance
plans should include counseling and medications identified as effective by the
Guideline as covered benefits, says the Yale psychiatrist.
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 Campus Notes

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