Tobacco Update: Scientific Advances, Clinical PerspectivesWhat Have We Learned from 20 Years of Research on Smokeless Tobacco Cessation?
Section snippets
Unique Issues for SLT Treatment
There are unique issues associated with SLT cessation treatment. First, unlike smokers, most users of moist snuff or chewing tobacco are male, which offers both challenges and opportunities. Male users are less likely to seek treatment, but they are more likely to respond to self-help programs for quitting than are female users. The opportunity to use spouse or partner support for the male quitter is greater because the female partner can be mobilized to help the male partner in quitting.
Review of Published Treatment Studies
Behavioral treatments for SLT dependence have been shown to be effective, but the literature has been modest compared with the voluminous research literature on smoking cessation, with an estimated 6,000 studies being published between 1975 and 1999.9 Among the studies on SLT reviewed for this article, only 20 met the criteria for offering adequate methodological rigor; of those 20, only 14 were randomized clinical trials (RCT). The studies reviewed here have been divided into (1) behavioral
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Smokeless tobacco treatment: Measures, interventions, recommendations, and future directions
2020, Smokeless Tobacco Products: Characteristics, Usage, Health Effects, and Regulatory ImplicationsFactors associated with smokeless tobacco cessation in an Appalachian population
2008, Addictive BehaviorsCitation Excerpt :The 12-month, cotinine validated quit rate of 21.5% observed in the study is comparable to ST cessation rates previously reported in the literature. Behavioral interventions have reported 12-month quit rates ranging between 10.2% and 34.5% (Severson, 2003). A comparable intervention involving NRT and behavioral therapy reported 37.9% quit rates at 6 months (Howard-Pitney, Killen, & Fortmann, 1999), while another study examining NRT observed 29% abstinence, biochemically verified, 12 months after the intervention's end in individuals using active nicotine patches (Hatsukami et al., 2000).
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2007, Drug and Alcohol DependenceCitation Excerpt :We provided both groups with an oral examination and feedback about the oral examination findings as well as 16 individual counseling sessions using an intervention manual tailored for ST users. Indeed, previous research has demonstrated that behavioral interventions are effective for ST users (Severson, 2003) especially those which include an oral examination component (Ebbert et al., 2004). The high tobacco abstinence rate in the placebo group at 12 weeks (46.4%) is consistent with other pharmacologic studies with ST users which have also included intensive behavioral counseling in the intervention and control groups (Hatsukami et al., 1996, 2000).
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