ATTUD Journal Club Postings

Is it Best to Switch or Add to New Treatment When Trying to Quit Again?

A recent article based on very large prospective study reported that smokers who failed a quit attempt on one medication, tried again and used a different medication, had 3 times higher success rates than those who tried again and used the same medication (Heckman et al Am J Prev Med, in press). Although this is […]

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Repeat quit attempts: Use new therapy or old therapy?

Most smokers who seek individual treatment for smoking cessation have tried to quit in the past and many have already used a behavioral or pharmacological treatment. Assessing why past treatments were used, compliance and perceived benefit of the prior treatment is recommended in most treatment guidelines. However, whether it is best to repeat old treatments […]

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Blog on Hardening

As many of you know, I have been enamored of the hardening hypothesis (in terms of ability to quit on a given attempt). However, attached is what I think is the best test of that hypothesis from Robert West’s Smoking Tool Kit and clearly it is refuting it. Also, the CA survey has found similar […]

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Psychiatric co‐morbidity with smoking is increasing over time

Smokers with a history of a psychiatric disorder are less likely to stop smoking than those without this history. In addition, whenever a society stigmatizes a behavior and makes it more deviant, then those who, nevertheless, take up or continue the behavior are more likely to have psychiatric co­morbidity. As a result of these two […]

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Recent Survey Data on Smoking and Quitting in the US

Two new CDC surveys (MMWR 60:1207-1211, Sept 9, 2011 and MMWR 60:1513, Nov 11, 2011) report some outcomes of interest to TTSs. The first survey reports that now, among daily smokers, 16% smoke less than 10 cigs/day. In addition, other surveys have found that 20% of smokers are non-daily smokers, so when you add the […]

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