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