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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

Smoking Cessation

Norman Hymowitz Ph.D.

Professor of Psychiatry

New Jersey Medical School

Newark, New Jersey

smoking cessation2
Smoking Cessation
  • Clinical vs. Public Health
  • More Intense Treatment for Fewer Individuals vs. Less Intense Treatment for More Individuals
smoking cessation clinical
Smoking CessationClinical
  • Multi-Component Behavioral Programs (Group and Individual Formats)
  • Behavioral Strategies
      • Self Monitoring
      • Behavioral Contracting
      • Stimulus Control Techniques
      • Alternative Behavior

continue

smoking cessation clinical smoking cessation clinical
Smoking CessationClinicalSmoking CessationClinical
      • Diet and Exercise
      • Relaxation and Coping Skills
      • Aversive Conditioning
      • Quit Date for Initial Cessation
      • Relapse Prevention/Follow-up
  • Pharmacological Therapy
smoking cessation clinical5
Smoking Cessation Clinical
  • Nicotine Replacement Therapy
      • Gum
      • Patch
      • Inhaler
      • Nasal Spray
      • Lozenge

Bupropion (Zyban)

Combination Therapy

Extended Use

High Dose

smoking cessation clinical6
Smoking CessationClinical
  • Outstanding Issues

-Long-term Maintenance/Relapse

      • “Chronic Disease”

- Adolescents

High Dropout Rates

Modest Outcomes

- Harm Reduction

smoking cessation public health
Smoking CessationPublic Health
  • Mass Media Campaigns/Community Moblization, Policy/Legislation
      • Clean Indoor Air Laws
      • Taxation
      • Advertising
      • Age of Sale Laws

continue

smoking cessation public health8
Smoking CessationPublic Health
  • OTC-NRT
  • Self-Help Brochures
  • Hotlines
  • Computer Programs/Internet
  • Quit and Win Contest
  • Physician/ Health Provider Brief Intervention
smoking cessation public health9
Smoking CessationPublic Health
  • Physician and Health Care Providers
      • Anticipate (Youth)
      • Ask
      • Advise
      • Assist
      • Arrange Follow-up
smoking cessation public health10
Smoking CessationPublic Health
  • Physician Intervention
    • Multi-Component Strategies to:
      • Prepare For Quit Date
      • Prevent relapse
        • Behavioral Strategies
        • Pharmacological Strategies
smoking cessation public health11
Smoking CessationPublic Health
  • Physician Intervention
  • Motivational Interviewing

(Vignette)

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