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Smoking Cessation

Smoking Cessation. Norman Hymowitz Ph.D. Professor of Psychiatry New Jersey Medical School Newark, New Jersey. Smoking Cessation. Clinical vs. Public Health More Intense Treatment for Fewer Individuals vs. Less Intense Treatment for More Individuals. Smoking Cessation Clinical.

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Smoking Cessation

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  1. Smoking Cessation Norman Hymowitz Ph.D. Professor of Psychiatry New Jersey Medical School Newark, New Jersey

  2. Smoking Cessation • Clinical vs. Public Health • More Intense Treatment for Fewer Individuals vs. Less Intense Treatment for More Individuals

  3. Smoking CessationClinical • Multi-Component Behavioral Programs (Group and Individual Formats) • Behavioral Strategies • Self Monitoring • Behavioral Contracting • Stimulus Control Techniques • Alternative Behavior continue

  4. Smoking CessationClinicalSmoking CessationClinical • Diet and Exercise • Relaxation and Coping Skills • Aversive Conditioning • Quit Date for Initial Cessation • Relapse Prevention/Follow-up • Pharmacological Therapy

  5. Smoking Cessation Clinical • Nicotine Replacement Therapy • Gum • Patch • Inhaler • Nasal Spray • Lozenge Bupropion (Zyban) Combination Therapy Extended Use High Dose

  6. Smoking CessationClinical • Outstanding Issues -Long-term Maintenance/Relapse • “Chronic Disease” - Adolescents High Dropout Rates Modest Outcomes - Harm Reduction

  7. Smoking CessationPublic Health • Mass Media Campaigns/Community Moblization, Policy/Legislation • Clean Indoor Air Laws • Taxation • Advertising • Age of Sale Laws continue

  8. Smoking CessationPublic Health • OTC-NRT • Self-Help Brochures • Hotlines • Computer Programs/Internet • Quit and Win Contest • Physician/ Health Provider Brief Intervention

  9. Smoking CessationPublic Health • Physician and Health Care Providers • Anticipate (Youth) • Ask • Advise • Assist • Arrange Follow-up

  10. Smoking CessationPublic Health • Physician Intervention • Multi-Component Strategies to: • Prepare For Quit Date • Prevent relapse • Behavioral Strategies • Pharmacological Strategies

  11. Smoking CessationPublic Health • Physician Intervention • Motivational Interviewing (Vignette)

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