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Manual of Smoking Cessation


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Table of Contents

About the Authors. Acknowledgements. Statements of Professional Interest. Foreword. Introduction. Part 1: Essential Information. Chapter 1: Smoking demographics. 1.1 Smoking patterns. 1.2 Smoking cessation. 1.3 Sources for updating prevalence statistics. 1.4 Multiple choice questions. Chapter 2: The health risks of smoking and the benefits of stopping. 2.1 Smoking mortality. 2.2 Smoking morbidity. 2.3 Health benefits of smoking cessation. 2.4 Sources for updating health information and statistics. 2.5 Multiple choice questions. Part 2: Practical Advice. Chapter 3: Brief interventions. 3.1 Assessment and recording of smoking status. 3.2 Advising smokers to stop and assessing interest in quitting. 3.3 Compensatory smoking. 3.4 Reasons why stopping smoking can be difficult. 3.5 Treatment to help with stopping smoking. 3.6 Referral to local services. 3.7 Wider context. 3.8 Multiple choice questions. Chapter 4: Intensive one-to-one support and advice. 4.1 Smoking cessation treatments and their outcome. 4.2 Assessment. 4.3 Pharmacotherapy. 4.4 Behavioural support ? withdrawal oriented treatment. 4.5 Monitoring. 4.6 Multiple choice questions. Chapter 5: Telephone counselling. 5.1 Recruiting smokers into treatment by telephone. 5.2 Behavioural support by telephone. 5.3 Multiple choice questions. Chapter 6: Group interventions. 6.1 Recruitment and assessment. 6.2 Treatment programme for groups. 6.3 Group treatment content. 6.4 Monitoring and follow-up. 6.5 Multiple choice questions. Answers to multiple choice questions. Appendices

About the Author

Andy McEwen is Senior Research Nurse at the Cancer Research UK Health Behaviour Unit at University College London. His current research includes surveys of smokers and health professionals, pharmacokinetic studies on nicotine delivery systems and clinical trials of behavioural treatments; he also retains an interest in nursing research. In 1997 he began his clinical and academic career in smoking cessation with Robert West. In 2003 he took up his current post and is Director of the Smoking Cessation Services Research Network (SCSRN) and Programme Director of the UK National Smoking Cessation Conference (UKNSCC). Peter Hajek is Professor of Clinical Psychology, Head of Psychology, and Director of Tobacco Dependence Research Unit at Barts and The London, Queen Mary's School of Medicine and Dentistry, University of London. His research is concerned primarily with understanding smoking behaviour, and developing and evaluating smoking cessation treatments. He has authored or co-authored over 200 publications, holds various academic and editorial appointments, and had input into the UK Government's initiative to establish smoking cessation services. His Unit is involved in examining both behavioural and pharmacological interventions, and in offering treatment to dependent smokers who seek help. Dr Hayden McRobbie is a Research Fellow at the Clinical Trials Research Unit, University of Auckland, New Zealand where he specialises in smoking cessation research and treatment. He studied medicine at the University of Otago and after a several years in clinical medicine he moved to London to work with Professor Peter Hajek. He worked on a large number of projects and clinical trails looking at ways to help people stop smoking, as well pharmacological and behavioural methods that alleviate the symptoms of tobacco withdrawal. In New Zealand Hayden continues his research into treatment to help people stop smoking and retains close links with the UK where he is a Visiting Lecturer at Barts and The London, Queen Mary's School of Medicine and Dentistry, and Programme Director of the UK National Smoking Cessation Conference. Robert West is Director of Tobacco Studies at the Cancer Research UK Health Behaviour Unit at University College London. He has been researching tobacco and nicotine dependence since 1982 and has published more than 250 scientific works. His research involves surveys of smoking patterns, clinical trials of aids to smoking cessation and laboratory studies of nicotine withdrawal symptoms. He is co-author of the English National Smoking Cessation Guidelines that provided the blueprint for the English Stop Smoking Services and is also Editor-in-Chief of the journal, Addiction.


"Few quit-smoking books are as packed with relevant information or written in such a refreshingly concise manner. The authors break down the job of helping smokers into two basic components: 'Getting the essentials', which includes facts on smoking patterns, the health risks of smoking and the benefits of stopping; and 'Practical advice', which includes practitioner-friendly guidance for brief interventions, intensive one-on-one support, telephone counseling and group interventions. Throughout the manual, the authors offer many practical suggestions, including sample dialogue for health professionals. Sprinkled throughout each section are smokers' commonly asked questions and examples of clinician responses. The design of the book adds to its usefulness, with an engaging mix of text, bolded phrases, bulleted lists, boxed features such as quotes and myths, tables, referrals and resource materials. The Manual for Smoking Cessation is an informative, well-stated and sound practitioner guide." Addiction, Vol 102: 2007 "This comprehensive manual on smoking cessation is clear, concise and accessible, making it attractive for lecturers and students, as well as busy practitioners and counsellors. Given the well-established health risks of smoking, the health benefits of smoking cessation should be the business of every healthcare professional. This manual makes a positive contribution to facilitating that process. [This book] covers smoking demographics, health risks of smoking and benefits of cessation. However the main thrust of the text is on practical advice, including brief interventions, one-to-one support, group interventions and telephone counselling. The manual is grounded in reality and does not underestimate the difficulties that people experience in combating nicotine addiction." Nursing Standard, September 2006; Vol 21: No 2, 2006 ?The book is user-friendly to the highest degree with regards to both its content and format. The broad field of smoking cessation is covered succinctly with knowledge that is based on available clinical evidence ? .The size and the length ? as well as the graphic design ? enhance the manual's accessibility and utility. Its high practicality of use as a manual is also achieved by clear articulation of key messages ? .Crucial ideas are presented in boxes and thus visually emphasized. The manual can also be used as a teaching aid ? .The authors' model of smoking behavior is logically coherent and clinically consequential. [It] will certainly be an excellent source of practical information for anyone already engaged in or interested in working in the tobacco treatment field.? International Journal of Mental Health and Addiction "The Manual of Smoking Cessation: A Guide for Counsellors and Practitioners expertly synthesises the evidence base with current good practice to produce detailed advice on how best to help smokers to quit? This clear guidance on what to do and say to smokers wanting to stop is supplemented by the clever use of suggested phrases and frequently asked questions throughout the text. The result is not merely another text book; the Manual is exactly what it says in the title, it is A Guide for Counsellors and Practitioners." From the Foreword by Gay Sutherland, Tobacco Research Unit, Institute of Psychiatry, London, UK "There is a very large body of science about how to help smokers stop and the major strength of this book is its ability to translate this science into practice? The authors' long experience on the front lines of smoking cessation practice and cutting-edge research on smoking cessation is evident in the many practical and concrete recommendations. The format of the book makes it a pleasure to read." John R. Hughes, M.D., Department of Psychiatry, University of Vermont, Burlington, USA

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