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Non-Drug Treatments to Promote Smoking Cessation

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Tobacco or Health?

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Abstract

Smoking cessation should be the prime objective of medical treatment for people who smoke, particularly since most smokers who require treatment are dependent on tobacco. Statistics on readiness to quit smoking show wide variations. For some 20–30% of smokers, an external event marks the starting point for giving up. Further undecided smokers – the figures vary between 25 and 40% – may possibly be persuaded to quit by extensive education campaigns directed at the smoking public [1, 2].

Besides techniques employed worldwide in which patient education is combined chiefly with the pharmacological approach (see Chap. 11), a wide range of counselling methods have found application, ranging from physician advice through to psychological withdrawal programmes, such as those used in other forms of dependence. Scientific assessment of these techniques is only possible if they also adhere to defined standards. The technique used must, therefore, also be scientifically justified or justifiable and the success of treatment must be quantifiable by measuring biochemical markers (e.g. CO in expired air or, preferably, cotinine levels in plasma, urine or saliva). In addition, the consensus definition of cessation is that the smoker remains abstinent for at least 6 (or preferably 12) months after the start of treatment, i.e. the ex-smoker should no longer smoke any cigarettes. A reduction in cigarette smoking (e.g. by 20 cigarettes/day) may be termed a partial success, but does not qualify as smoking cessation in the sense defined above. Given the millions of smokers who are potentially willing to quit, the techniques employed must be practicable and economically viable, and this explains the dominant position of nicotine replacement therapy (NRT) worldwide [3].

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Authors and Affiliations

  1. Nikotinforschung und Raucherentwöhnung, Fritz-Lickint-Institut für, Johannes Str. 85–87, 99084, Erfurt, Germany

    Prof. Dr. Knut-Olaf Haustein

  2. Institut für Arbeitsmedizin, Charité - Universitätsmedizin Berlin, Thielallee 73, 14195, Berlin, Germany

    Prof. Dr. Dr. h.c. mult. David Groneberg

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Haustein, KO., Groneberg, D. (2010). Non-Drug Treatments to Promote Smoking Cessation. In: Tobacco or Health?. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-87577-2_10

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