New Zealand smoking cessation guidelines
Hayden McRobbie1, Chris Bullen, Marewa Glover
1Clinical Trials Research Unit, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1072, New Zealand. h.mcrobbie@ctru.auckland.ac.nz
The New Zealand Medical Journal
|June 25, 2008
Summary
The 2007 New Zealand Smoking Cessation Guidelines introduce the ABC model to aid healthcare professionals. This evidence-based approach supports smokers by asking about status, advising cessation, and offering tailored support for successful quitting.
Area of Science:
- Public Health
- Clinical Practice Guidelines
- Addiction Medicine
Background:
- Smoking remains a significant public health concern.
- Effective smoking cessation interventions are crucial for reducing smoking-related morbidity and mortality.
- Previous guidelines, such as the 5A's model, have guided healthcare professionals in assisting smokers.
Purpose of the Study:
- To summarize key recommendations from the 2007 New Zealand Smoking Cessation Guidelines.
- To introduce and explain the novel ABC memory aid for smoking cessation.
- To provide evidence-based support strategies for healthcare professionals.
Main Methods:
- A comprehensive literature review of smoking cessation interventions was conducted in November 2006.
- Recommendations were formulated based on the literature review findings.
- Methods aligned with the New Zealand Guidelines Group's recommendations.
Main Results:
- The guidelines are structured around the new ABC memory aid (Ask, Advise, Cessation support), replacing the 5A's.
- Healthcare professionals are prompted to ask about smoking status, advise all smokers to quit, and offer evidence-based cessation support.
- Support includes behavioral (e.g., telephone, face-to-face) and pharmacological interventions (e.g., NRT, nortriptyline, bupropion, varenicline).
- Specific recommendations are provided for priority populations: Māori, Pacific peoples, pregnant women, and individuals with mental illness or addictions.
Conclusions:
- The guidelines provide healthcare professionals with evidence-based strategies for smoking cessation support.
- Effective implementation of the ABC model into routine practice is essential for successful outcomes.
- These guidelines aim to improve cessation rates among people who smoke.
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