About the Blog Author-John R. Hughes, MD
John R. Hughes, MD is Professor of Psychiatry, Psychology and Family Practice at the University of Vermont. Dr. Hughes is board certified in Psychiatry and Addiction Psychiatry. His major focus has been clinical research on tobacco use. Dr. Hughes received the Ove Ferno Award for research in nicotine dependence and the Alton Ochsner Award Relating Smoking and Health. He is a co-founder and past president of the Society for Research on Nicotine and Tobacco, and the Association for the Treatment of Tobacco Use and Dependence. Dr. Hughes has been Chair of the Vermont Tobacco Evaluation and Review Board which oversees VT’s multi-million dollar tobacco control programs. He has over 400 publications on nicotine and other drug dependencies and is one of the world’s most cited tobacco scientist. Dr. Hughes has been a consultant on tobacco policy to the World Health Organization, the U.S. Food and Drug Administration, and the White House. His current research is on how tobacco users and marijuana users stop or reduce use on their own, novel methods to prompt quit attempts by such users, whether smoking cessation reduces reward sensitivity and whether stopping e-cigarettes causes withdrawal. Dr Hughes has received fees from companies who develop smoking cessation devices, medications and services, from governmental and academic institutions, and from public and private organizations that promote tobacco control.
News
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Results of Recent Cochrane Review on Efficacy of Different Tobacco Dependence Treatments
The Tobacco Addiction Group of Cochrane (of which I am a member) published six new or revised meta-analyses of treatments for tobacco dependence. I am a big fan of the Cohrane reviews because they are all done using the same methods, usually locate all the available trials, and use rigorous methods.
An updated review of motivational interviewing (MI) located 28 studies and found MI moderately increased cessation by 1.3 fold compared to brief advice.... -
Is Face‐to‐Face Counseling Worth It
In my prior entries, I have mentioned the need for studies showing that face‐to‐face counseling is worth the extra cost. Such individual treatment can never be as cost‐effective as less‐intensive treatment. In fact, in medicine there are very few cases where more intensive treatment is more cost‐effective.
Recently, two studies have tested more vs less intensive treatment. In one study, 300 smokers in dental care were randomized to low intensity treatment (one 30 min session) or high intensity treatment (eight 40 min sessions over 4 months‐i.e. 320 min).... -
How Prevalent is Use of Face-to-Face Counseling for Smoking Cessation
Most US surveys report that about a third (36%) of smokers trying to quit seek treatment; many (32%) used medications but few (4%) smokers used counseling (Shiffman, Am J Prev Med 34:103-111, 2008). However, a new survey suggests use may be greater (Borland, Addiction 107:197-205). In a survey of 10 countries, the incidence of use of counseling in the last year among those...