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Home > Relapse prevention interventions for smoking cessation.

Livingston-Banks, Jonathan and Norris, Emma and Hartmann-Boyce, Jamie and West, Robert and Jarvis, Martin and Chubb, Emma and Hajek, Peter [The Cochrane Library] . (2019) Relapse prevention interventions for smoking cessation. London: Wiley. Cochrane Database of Systematic Reviews, 10 https://doi.org/10.1002/14651858.CD003999.pub6

URL: https://www.cochranelibrary.com/cdsr/doi/10.1002/1...


Do any interventions help smokers who have successfully quit for a short time to avoid relapsing?

Authors' conclusions

Behavioural interventions that teach people to recognise situations that are high risk for relapse along with strategies to cope with them provided no worthwhile benefit in preventing relapse in assisted abstainers, although unexplained statistical heterogeneity means we are only moderately certain of this. In people who have successfully quit smoking using pharmacotherapy, there were mixed results regarding extending pharmacotherapy for longer than is standard. Extended treatment with varenicline helped to prevent relapse; evidence for the effect estimate was of moderate certainty, limited by unexplained statistical heterogeneity. Moderate‐certainty evidence, limited by imprecision, did not detect a benefit from extended treatment with bupropion, though confidence intervals mean we could not rule out a clinically important benefit at this stage. Low‐certainty evidence, limited by imprecision, did not show a benefit of extended treatment with nicotine replacement therapy in preventing relapse in assisted abstainers. More research is needed in this area, especially as the evidence for extended nicotine replacement therapy in unassisted abstainers did suggest a benefit.

Item Type
Evidence resource
Publication Type
Review
Drug Type
Tobacco
Intervention Type
AOD disorder treatment method, Rehabilitation/Recovery
Date
October 2019
Publisher
Wiley
Place of Publication
London
Volume
10
EndNote
Accession Number
HRB (Not in collection)

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