Manual of Smoking Cessation

Andy McEwen is Senior Research Nurse at the Cancer Research UK Health Behaviour Unit at University College London. His current research includes surveys of smokers and health professionals, pharmacokinetic studies on nicotine delivery systems and clinical trials of behavioural treatments; he also retains an interest in nursing research. In 1997 he began his clinical and academic career in smoking cessation with Robert West. In 2003 he took up his current post and is Director of the Smoking Cessation Services Research Network (SCSRN) and Programme Director of the UK National Smoking Cessation Conference (UKNSCC). Peter Hajek is Professor of Clinical Psychology, Head of Psychology, and Director of Tobacco Dependence Research Unit at Barts and The London, Queen Mary's School of Medicine and Dentistry, University of London. His research is concerned primarily with understanding smoking behaviour, and developing and evaluating smoking cessation treatments. He has authored or co-authored over 200 publications, holds various academic and editorial appointments, and had input into the UK Government's initiative to establish smoking cessation services. His Unit is involved in examining both behavioural and pharmacological interventions, and in offering treatment to dependent smokers who seek help. Dr Hayden McRobbie is a Research Fellow at the Clinical Trials Research Unit, University of Auckland, New Zealand where he specialises in smoking cessation research and treatment. He studied medicine at the University of Otago and after a several years in clinical medicine he moved to London to work with Professor Peter Hajek. He worked on a large number of projects and clinical trails looking at ways to help people stop smoking, as well pharmacological and behavioural methods that alleviate the symptoms of tobacco withdrawal. In New Zealand Hayden continues his research into treatment to help people stop smoking and retains close links with the UK where he is a Visiting Lecturer at Barts and The London, Queen Mary's School of Medicine and Dentistry, and Programme Director of the UK National Smoking Cessation Conference. Robert West is Director of Tobacco Studies at the Cancer Research UK Health Behaviour Unit at University College London. He has been researching tobacco and nicotine dependence since 1982 and has published more than 250 scientific works. His research involves surveys of smoking patterns, clinical trials of aids to smoking cessation and laboratory studies of nicotine withdrawal symptoms. He is co-author of the English National Smoking Cessation Guidelines that provided the blueprint for the English Stop Smoking Services and is also Editor-in-Chief of the journal, Addiction.

About the Authors. Acknowledgements.

Statements of Professional Interest.

Foreword.

Introduction.

Part 1: Essential Information.

Chapter 1: Smoking demographics.

1.1 Smoking patterns.

1.2 Smoking cessation.

1.3 Sources for updating prevalence statistics.

1.4 Multiple choice questions.

Chapter 2: The health risks of smoking and the benefits of stopping.

2.1 Smoking mortality.

2.2 Smoking morbidity.

2.3 Health benefits of smoking cessation.

2.4 Sources for updating health information and statistics.

2.5 Multiple choice questions.

Part 2: Practical Advice.

Chapter 3: Brief interventions.

3.1 Assessment and recording of smoking status.

3.2 Advising smokers to stop and assessing interest in quitting.

3.3 Compensatory smoking.

3.4 Reasons why stopping smoking can be difficult.

3.5 Treatment to help with stopping smoking.

3.6 Referral to local services.

3.7 Wider context.

3.8 Multiple choice questions.

Chapter 4: Intensive one-to-one support and advice.

4.1 Smoking cessation treatments and their outcome.

4.2 Assessment.

4.3 Pharmacotherapy.

4.4 Behavioural support – withdrawal oriented treatment.

4.5 Monitoring.

4.6 Multiple choice questions.

Chapter 5: Telephone counselling.

5.1 Recruiting smokers into treatment by telephone.

5.2 Behavioural support by telephone.

5.3 Multiple choice questions.

Chapter 6: Group interventions.

6.1 Recruitment and assessment.

6.2 Treatment programme for groups.

6.3 Group treatment content.

6.4 Monitoring and follow-up.

6.5 Multiple choice questions.

Answers to multiple choice questions.

Appendices