Boosting population quits through evidence-based cessation treatment and policy
David B Abrams1, Amanda L Graham, David T Levy
1Steven A. Schroeder Institute for Tobacco Research and Policy Studies, American Legacy Foundation, Washington DC, USA. dabrams@americanlegacy.org
American Journal of Preventive Medicine
|February 24, 2010
Summary
To rapidly reduce smoking prevalence, large increases in adult cessation are needed. This study outlines a comprehensive systems approach, reviewing evidence-based treatments and policies to improve quit rates and treatment utilization.
Area of Science:
- Public Health
- Health Policy
- Behavioral Science
Background:
- Population smoking prevalence reduction requires significant increases in adult cessation.
- Existing evidence-based smoking cessation treatments and policies are underutilized.
- Effective dissemination and implementation strategies are crucial for widespread impact.
Purpose of the Study:
- To present an analytic framework for a comprehensive systems approach to smoking cessation treatment and policy.
- To review evidence on the impact of specific cessation treatment policies.
- To guide subsequent modeling papers on critical leverage points for reducing smoking prevalence.
Main Methods:
- Literature review of the U.S. Public Health Service 2008 clinical practice guideline and other sources.
- Analysis of five key cessation treatment policies.
- Development of an analytic framework for simulation modeling.
Main Results:
- Five cessation treatment policies were identified as impactful.
- Policies include expanding coverage, funding quitlines, supporting healthcare system changes, promoting internet-based treatments, and improving tailored care.
- These policies aim to increase quit attempts, evidence-based treatment use, and quit rates.
Conclusions:
- An integrated, comprehensive systems approach is necessary for marked reductions in population smoking cessation.
- Implementing defined treatments and policies can improve motivation, treatment use, and long-term effectiveness.
- This framework informs models to explore new strategies for increasing smoking cessation.
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