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Therapeutics
Smoking reduction with nicotine replacement and motivational advice reduced smoking in people unmotivated to quit

https://doi.org/10.1136/ebm.10.1.18

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    Carpenter MJ, Hughes JR, Solomon LJ, et al. Both smoking reduction with nicotine replacement therapy and motivational advice increase future cessation among smokers unmotivated to quit. J Consult Clin Psychol 2004;72:371–81.
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 Q In smokers unmotivated to quit, how effective is a telephone-based smoking reduction intervention using either nicotine replacement therapy (NRT) and brief advice or motivational advice plus brief advice?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {unconcealed*}†.

    Embedded ImageBlinding:

    {unblinded*}†.

    Embedded ImageFollow up period:

    6 months.

    Embedded ImageSetting:

    USA.

    Embedded ImageParticipants:

    616 adults ⩾18 years of age (mean age 39 y, 70% women, 89% white) who smoked ⩾10 cigarettes/day and were not interested in quitting.

    Embedded ImageIntervention:

    telephone-based reduction counselling plus NRT (nicotine gum, 4 mg; or nicotine patch, 7 mg, 14 mg, or 21 mg) plus brief advice to quit smoking after 6 weeks (n = 212, reduction aided by NRT [r-NRT] group); telephone-based motivational advice plus brief advice to quit plus NRT …

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    Footnotes

    • ↵* See glossary.

    • ↵† Information provided by author.

    • For correspondence: Dr M J Carpenter, Institute of Psychiatry, Medical University of South Carolina, SC, USA. carpente{at}musc.edu

    • Source of funding: National Institute on Drug Abuse.