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Comparison of 3 Strategies to Quit Smoking


7 April 2009 | Volume 150 Issue 7 | Page I-36

Summaries for Patients are a service provided by Annals to help patients better understand the complicated and often mystifying language of modern medicine.

Summaries for Patients are presented for informational purposes only. These summaries are not a substitute for advice from your own medical provider. If you have questions about this material, or need medical advice about your own health or situation, Coreg pics, please contact your physician. The summaries may be reproduced for not-for-profit educational purposes only. Taking Coreg, Any other uses must be approved by the American College of Physicians.

The summary below is from the full report titled "Effect of Varying Levels of Disease Management on Smoking Cessation. A Randomized Trial." It is in the 7 April 2009 issue of Annals of Internal Medicine (volume 150, pages 437-446), Buy Coreg Without Prescription. The authors are E.F. Ellerbeck, J.D, purchase Coreg for sale. Mahnken, A.P. Buy no prescription Coreg online, Cupertino, L.S. Buy Coreg Without Prescription, Cox, K.A. Greiner, L.M, buy Coreg online no prescription. Mussulman, N. Buying Coreg online over the counter, Nazir, T.I. Shireman, K, Coreg steet value. Resnicow, and J.S, Buy Coreg Without Prescription. Ahluwalia.







What is the problem and what is known about it so far.





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Cigarette smoking is a chronic problem. Buy generic Coreg, Many smokers want to quit but find that doing so is difficult. Quitting smoking may require repeated or intensive interventions. Smoking cessation aids Buy Coreg Without Prescription, include counseling and various drugs. Some studies show that smokers who use more than 1 aid increase their chances of quitting and remaining smoke-free. Few studies, online buy Coreg without a prescription, however, examine whether repeated intensive interventions increase long-term cessation rates more than repeated, Purchase Coreg online, less intensive interventions.







Why did the researchers do this particular study.





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To compare 3 strategies of varying intensity to help smokers quit smoking.







Who was studied.





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750 adults recruited from 50 rural primary care practices in Kansas. All smoked 10 or more cigarettes daily and had been smoking for at least 1 year.







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Patients were randomly assigned to drug therapy alone or drug therapy combined with either moderate- or high-intensity disease management, Coreg over the counter. Drug therapy consisted of either a 6-week course of a nicotine patch (21 mg daily) or a 7-week course of sustained-release bupropion (150 mg twice daily). Counselors provided disease management that included up to 2 (moderate-intensity disease management) or 6 (high-intensity disease management) telephone calls with patients and reports to patients' physicians. No prescription Coreg online, The interventions were offered 4 times (every 6 months for 2 years). Throughout the study, the researchers assessed patients' requests for drug therapy and patients' reports of smoking cessation.







What did the researchers find.





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The percentages of patients who requested drug prescriptions Buy Coreg Without Prescription, during the first, second, third, and fourth intervention cycles were 64%, 41%, 24%, and 25%, respectively. The percentages of patients assigned to either the moderate- or high-intensity disease management group that had at least 1 counseling session during the first and fourth intervention cycles were about 90% and 55% to 60%.

Smoking cessation rates after the first cycle were 11% for the group that received drug therapy alone, Coreg results, 15% for the moderate-intensity disease management group, and 17% for the high-intensity disease management group. Smoking cessation rates at 2 years for the 3 groups were 23%, 24%, Coreg blogs, and 28%, respectively.







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Drug therapy was provided for free. Smoking abstinence was self-reported. Some patients (20% to 30%) did not complete follow-up assessments.







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Smoking cessation rates may increase with repeated assistance for quit attempts. An optimum combination and intensity of interventions that maximizes long-term cessation remains unclear.

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