ATTUD Journal Club Postings

How effective is internet treatment? Should we replace or add to our in-person/quitline programs?

Currently, 77% of Americans have a smartphone and 88% have daily access to the internet via computer or smart phone, with only a slightly lower prevalence in smokers. The major advantages of e-therapy are easy access, affordability and reach. A recent meta-analysis (Do et al, Patient Preference and Adherence 2018:12, p 2065) examined 108 (!) […]

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Motivation vs Skill vs Dependence in Quitting Smoking

Smokers’ perceptions about quitting are just the opposite of what science says. A recent paper (Addict Behav 53: 175-180) has replicated the conclusions of a prior review (Addiction 106:2110-2121, 2011) that commitment/motivation/willpower predict making a quit attempt but does not predict ability to remain abstinent after a quit attempt. These papers also found the opposite […]

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Striking While the Iron is Hot Revisited

In prior blogs, I have reviewed the retrospective studies suggesting that smokers who quit spontaneously do not have worse outcomes and often have better outcomes than those who delay and plan their quit attempt. These findings challenge the common practice of asking smokers to delay quitting in order to engage in several preparatory activities (e.g. […]

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Another New Behavioral Treatment for Tobacco Dependence

For many years there was a dearth of research on new behavioral treatments for tobacco dependence, but recently we have had several; e.g., Mindfulness therapy (MT), Acceptance/Commitment Therapy (ACT), Behavioral Activation Therapy (BAT) , Positive Psychotherapy(PP) and Contingency Management (CM). One other possible new treatment that has yet to be formally tested is manipulating behavioral […]

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AHA and ACS Position Statements on Using Electronic Cigarettes for Smoking Cessation

Recently the American Heart Association and the American Cancer Society issued statements on e-cigarettes that include guidelines on whether to recommend e-cigarettes for smoking statement. Both state e-cigarettes should be considered in those who have not responded to or are unwilling to use proven treatments. The AHA statement says “If a patient has failed initial […]

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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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Self Control as a Finite Resource

Although many bemoaned the lack of innovative behavioral therapies for smoking in the 1990s, recently there has been a spate of new treatments‐mindfulness, acceptance therapy, persistence therapy, etc. These new treatments have often arisen from basic psychology theories that have been validated. One of these is the “Strength Model of Self‐Control” that posits one has […]

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Scheduling of Counseling for Smoking Cessation

Most of you know that the incidence of relapse after trying to quit is high in the first few weeks, but you may not realize how high it is. Most studies find that, among self-quitters, half of smokers relapse in the first 2 days and two-thirds in the first week. Even with intensive treatment over […]

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