Tuesday, 19 November 2002 - 11:00 AM
Hilton San Francisco Continental Ballroom 4 (475)

CESS-2. Behavioral Aspects of Effective NRT Interventions

Erik M. Augustson, MPH PhD, National Cancer Institute, DCCPS, augustse@mail.nih.gov, Scott J. Leischow, PhD, National Cancer Institute, DCCPS, Behavioral Research Program, leischos@mail.nih.gov, Laura J. Solomon, PhD, University of Vermont, Department of Psychology, lsolomon@zoo.uvm.edu, Ted W. Marcy, MD MPH, National Cancer Institute, DCP/DCCPS, marcyt@mail.nih.gov, Patty Fiero, PhD, SAIC-Frederick/National Cancer Institute, Division of Cancer Control and Population Sciences, Behavorial Research Program, fierop@mail.nih.gov.

Learning Objectives: Identify behavioral aspects of using NRT appropriately. Identify obstacles to effective NRT use. Develop strategies to increase NRT effectiveness to improve client cessation within a variety of treatment settings.

Abstract: Audience: Treatment providers in any context. Key Points: Despite the potential for nicotine replacement therapy (NRT) to serve as an effective smoking cessation tool, success rates with NRT remain relatively low. Many of the reasons for this may be related to behavioral aspects of NRT use. For example, a consistent finding is that less successful patients use less of the products, often substantially below recommended amounts. This is likely due to failure to receive proper instruction on product use and/or failure to recognize the importance of following instructions. Thus addressing behavioral factors associated with appropriately using NRT may optimize the products' potential. With the availability of NRT products over-the-counter (OTC), patients are even more likely to disregard the appropriate behavioral components of NRT use. Educational Experience: Four papers will be presented which address different aspects of this topic. The first paper will provide an overview of some of the key basic behavioral issues and discuss the interaction between behavioral and pharmacological factors associated with effective use of NRT. The second will present data from a study aimed at increasing physician utilization of these medications and highlight some of the challenges in changing physician approaches. The third will present data from a study comparing free NRT with and without telephone follow-up support. The final paper will discuss data from a study which compared use of OTC NRT to that provided in a context which included brief support and information regarding appropriate use.
InpatientNRT.ppt (797.0 kb)
StandardFormInptNRT.doc (21.0 kb)

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