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Tob Use Insights. 2019 Oct 6;12:1179173X19878435. doi: 10.1177/1179173X19878435. eCollection 2019.

Multimodal Smoking Cessation in a Real-Life Setting: Combining Motivational Interviewing With Official Therapy and Reduced Risk Products.

Author information

1
Centro per la Prevenzione e Cura del Tabagismo, Azienda Ospedaliero-Universitaria, "V. Emanuele-Policlinico," Università di Catania, Catania, Italy.
2
Center of Excellence for the acceleration of HArm Reduction (COEHAR), Dipartimento di Medicina clinica e sperimentale, University of Catania, Catania, Italy.
3
Institute for Social Marketing, University of Stirling, Stirling, UK.
4
Hunter-Bellevue School of Nursing, Hunter College, The City University of New York, New York, NY, USA.
5
Dipartimento di Filosofia e Comunicazione, Alma Mater Studiorum Università di Bologna, Italy.

Abstract

Background:

Tobacco use is a global pandemic, affecting an estimated 1.2 billion people and resulting in substantial health burdens and associated costs.

Objectives:

The aim of this study was to estimate the efficacy of several treatments for smoking cessation in a real-life setting and to evaluate predictors of smoking abstinence.

Methods:

This research was designed with a sample of 593 cases recorded over the period between 2015 and 2016. Six treatment groups were included: (1) bupropion and motivational interviewing (MI); (2) bupropion, nicotine replacement therapy (NRT), and MI; (3) NRT and MI; (4) varenicline and MI; (5) personal vaporizer electronic cigarette and MI; and (6) electronic cigarette, cigarette like "cigalike," and MI.

Results:

Results support the efficacy of all treatment groups when used in a real-life setting. The predictors of smoking abstinence were sex, partner smoking status, previous quit attempts, daily consumption, self-efficacy, and level of nicotine dependence.

Conclusions:

The use of different therapeutic strategies in clinical practice, including pharmacotherapy and nonstandard electronic nicotine delivery systems, such as an electronic cigarette, ensures a greater chance of cessation success and the possibility of tailoring interventions according to patients' resources.

KEYWORDS:

NRT; Smoking cessation; bupropion; counseling; electronic cigarette; varenicline

Conflict of interest statement

Declaration of conflicting interests:R.P. has received lecture fees from Pfizer and GSK; he has also served as a consultant to Pfizer and Arbi Group. The remaining authors have no conflicts of interest or declarations regarding the contents of this paper.

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