ATTUD Journal Club Postings

Do We Need Tobacco Treatment Specialists?

In the past blogs I have reviewed the evidence whether treatment from a trained TTS produces higher quit rates than from a less-intensive non-TTS therapy. The Cochrane review of this question examined 5 RCTs and stated “We failed to detect a greater effect of intensive counselling compared to brief counselling (5 trials, RR 0.96, 95% […]

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Does specialist, in‐person treatment improve quit rates?

Many of us in ATTUD provide in‐person individual counseling and believe that, for some smokers, increased intensity treatment provided by specialists increases quit rates. Many studies have shown that in‐person therapy provides higher outcomes than no treatment, brief advice, internet and self‐help materials. However, fewer studies have compared in‐person vs telephone counseling. I think showing […]

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Keeping Up on Scientific Data on the Efficacy of Treatments for Smoking

Each year the Cochrane Colloboration publishes an update of all their reviews on smoking (www.thecochranelibrary.com). This is an easy way to check up on new treatment findings and whether any prior findings are no longer thought true. I like the Cochrane because it uses the same methods to test all the treatments and really strives […]

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Do Specialists Obtain Higher Quit Rates and, If So, Why

A recent article (McDermott et al, Nicotine and Tobacco Research , advance publication) briefly reviewed four studies that found tobacco treatment specialists were associated with higher quit rates than non-specialists. Unfortunately, these were not randomized trials, but observational findings and thus the differences in specialist vs nonspecialist outcomes could be due to other factors (e.g. […]

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