ATTUD Journal Club Postings

Tobacco Treatment Specialists Are Needed

In prior blogs on 11/2/04, 1/31/13 and 12/21/15 (see ATTUD website) I presented evidence on whether TTSs achieve quit rates greater than brief advice or quitlines. One important study that I missed should be added to those reviews (Kotz et al, Addiction 109:491, 2013). This study used a survey of UK smokers. It is important […]

Read More

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% […]

Read More

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 […]

Read More

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. […]

Read More