Treatment of spit tobacco users with transdermal nicotine system and mint snuff.

Hatsukami, Dorothy K.; Grillo, Michael A.; Boyle, Raymond; Allen, Sharon; Jensen, Joni; Bliss, Robin; Brown, Scott

doi:10.1037/0022-006x.68.2.241

Cited by 53 publications

(62 citation statements)

References 25 publications

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“…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).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with smokeless tobacco cessation in an Appalachian population

Kauffman¹,

Ferketich²,

Wee³

et al. 2008

Addictive Behaviors

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Identifying factors associated with successful tobacco quit attempts may help in the development and targeting of effective cessation strategies. This paper aims to describe factors associated with smokeless tobacco (ST) cessation and compares the results to findings in the smoking cessation literature. Prospective data on 116 men aged 19 to 70 and participating in a ST cessation program were used to examine correlates of successful ST cessation at 1 year post-intervention. Controlling for age, level of education (p =0.002) and daily coffee consumption (p =0.005) had significant independent associations with successful cessation. No ST use variables were significant predictors of cessation success. In a multivariable logistic regression model three factors were significantly associated with cessation: education (p = 0.010), coffee consumption (p =0.019), and age (p =0.029). Factors associated with successful ST cessation in this sample are consistent with predictors of smoking cessation reported in the literature. Based on its widespread use and the strength of its association with successful quitting, the role of caffeine consumption in ST cessation merits further study.

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Section: Discussionmentioning

confidence: 99%

Factors associated with smokeless tobacco cessation in an Appalachian population

Kauffman¹,

Ferketich²,

Wee³

et al. 2008

Addictive Behaviors

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“…94,95 Mint and other herbal non-nicotine moist snuff does not enhance treatment outcomes when used with NRT patches, but it does reduce cravings and withdrawal symptoms. 96,97 Consistency is the most important factor. Ask every patient (especially adolescents) on each visit if they use tobacco.…”

Section: Smokeless Tobacco Usersmentioning

confidence: 99%

Tobacco Cessation in Primary Care: Maximizing Intervention Strategies

Anczak¹,

Nogler²

2003

Clinical Medicine & Research

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The most effective preventive intervention that a clinician can provide for tobacco-using patients against heart disease, cancer, cerebrovascular disease and chronic obstructive pulmonary disease is an empathic, personalized smoking cessation intervention program with extended assistance and follow-up. The goal of the intervention must be complete smoking cessation. Reduction provides no direct health benefits to the individual smoker. Interventions are readily available, but underutilized, in part due to lack of clinician training and organizational support.The present article summarizes the current guidelines for smoking cessation interventions as a framework from which to start. The guidelines incorporate the Transtheoretical Model of patient behavioral change and the "Five A's": Ask, Advise, Assess, Assist and Arrange. Pharmacotherapeutic tools, including nicotine replacement therapies (nicotine gums, patches, nasal sprays, inhalers and new therapies) and non-nicotine therapies (bupropion, clonidine, nortriptyline and other antidepressants and anxiolytics) are considered. Adherence validation methods, new approaches to tobacco and addiction treatment that appear in the recent research literature are reviewed.Beyond this framework, specific categories of tobacco users (including smokeless tobacco users), cultural and ethnic minorities, adolescents using snuff and bidis, women, Medicaid recipients, and users of multiple forms of tobacco require special consideration.With this framework and the modifications that may be required for specific categories of patients, practicing clinicians can incorporate into daily practice a successful tobacco cessation intervention program with quit rates approaching 20%.

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“…Results from other smokeless tobacco trials have reported the value of NRT in reducing withdrawal symptoms and NRT-related adverse events during quit attempts [13][14][15][16][17][18][19]. Participant satisfaction with English NHS SSS has been reported previously to be high [23,33].…”

Section: What Is Already Knownmentioning

confidence: 92%

“…NRT patch and gum use was observed to reduce withdrawal symptoms both in range and intensity compared to placebo. NRT-related adverse events were reported as minimal, more likely to be heartburn or gastroesophageal reflux if lozenges were used [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Smokeless tobacco cessation in South Asian communities: a multi‐centre prospective cohort study

et al. 2012

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Aim To evaluate smokeless tobacco cessation in communities of South Asian origin. Design Multi-centre prospective cohort study. Setting Three tobacco cessation services offering specialist smokeless tobacco cessation outreach clinic support to South Asians (Bangladeshi, Indian and Pakistani) resident in England. Participants A total of 239 South Asian participants seeking to stop smokeless tobacco use between November 2010 and December 2011. Measurements Socio-demographics, tobacco use and dependence, self-reported abstinence at 4 weeks and satisfaction measures. Findings Participants' mean age was 45 [standard deviation (SD) = 13] years, were predominantly female (76%), of Bangladeshi origin (74%), either home carers (53%) or not working (29%). Sixty-three per cent were recruited from community locations, 21% through a clinical contact and 16% through friends and family. Mean daily number of smokeless tobacco intakes was 10 (SD = 7) and the mean dependence score was 4.5 (SD = 1.9). Sixty-three per cent of participants achieved continuous abstinence 4 weeks after quitting. Using nicotine replacement therapy (NRT) versus not using it [OR = 3.47, 95% confidence interval (CI): 1.25, 9.62] and below median (Յ8) daily smokeless tobacco intakes (OR = 1.91, 95% CI: 1.07, 3.40) predicted successful abstinence. Conclusion South Asian smokeless tobacco users resident in England accessing services to help them stop appear to have short-term success rates comparable with smokers attending stop-smoking services, with higher success rates being reported by those using nicotine replacement therapy.

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Treatment of spit tobacco users with transdermal nicotine system and mint snuff.

Cited by 53 publications

References 25 publications

Factors associated with smokeless tobacco cessation in an Appalachian population

Factors associated with smokeless tobacco cessation in an Appalachian population

Tobacco Cessation in Primary Care: Maximizing Intervention Strategies

Smokeless tobacco cessation in South Asian communities: a multi‐centre prospective cohort study

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