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Nicotine Replacement Therapy Without Counselling Less Effective: Presented at SRNT By Liz Meszaros BALTIMORE, Md -- February 28, 2010 -- Using nicotine replacement products (NRP) without professional counselling to accompany therapy may not be as effective as NRP plus counselling for patients who wish to quit smoking, according to a study published here on February 26 at the 2010 Society for Research on Nicotine and Tobacco (SRNT) Annual Meeting. “From a public health perspective, nicotine replacement therapy without professional counselling may, in fact, be counterproductive or less cost-effective than tobacco control policies such as taxation, smoke-free policies and designations, and product and packaging regulations,” said Hillel Alpert, ScM, Harvard School of Public Health, Boston, Massachusetts. Dr. Alpert and colleagues culled results from a longitudinal random-digit-dial telephone survey conducted in 2001, 2003, and 2005 in adults living in Massachusetts. In all, 787 individuals were included at baseline. At first follow-up, 321 individuals reported that they had quit smoking in the past 2 years. Outcome measures were relapse at first and second follow-up interviews, and the main predictor variable was self-reported NRP use for at least 6 weeks in the quit attempt with or without professional counselling. Length of abstinence, heavy dependence, age, gender, education, and race were all controlled for with analyses. Self-reported NRP use did not affect the likelihood of relapse between baseline and first follow-up with or without counselling by a professional (P = .995 and P = .446, respectively). The likelihood of relapse was lower in individuals who reported abstinence of 6 months or more at baseline (odds ratio [OR] = 0.35; 95% confidence interval [CI], 0.21-0.60). Likelihood of relapse was higher in patients who had a heavy dependence (OR = 1.99; 95% CI, 1.11-3.58). Relapse between the first and second follow-up interviews was more likely in patients who used NRP without professional counselling (OR = 7.78; 95% CI, 1.24-48.6). Relapse was not affected by NRP use with professional counselling (P = .425). [Presentation title: Smoking Relapse and Use of Nicotine Replacement Products. Abstract POS3-19] E-mail this page to a friend or colleague! To print, use this version