Self-help interventions (generic, pre-printed,
written or online materials giving advice about ways to quit)
provided without personal support have a small effect on quit
rates. Their impact is smaller and less certain than face-to-face
interventions.
Materials intended to encourage smokers to attempt to quit and
to help them in their efforts are widely available and need to be
made available in regions where they are presently difficult to
obtain. Printed materials are most common and may range from a
brief guide and tip sheet to a structured manual with exercises to
guide quit attempts. Materials that are tailored to the smoker's
personal problems have better success but are more likely to be
relevant to treatment-seeking smokers. Resources may include
audiocassettes, videos, or computer programmes, as well as
websites. Trials have been conducted with many types of smokers,
using various types of materials offered alone, or provided as well
as face-to-face advice or support. In experimental settings it has
been difficult to demonstrate large or consistent long-term
effects, but meta-analysis suggests a probable small benefit. In
choosing particular materials to provide or recommend, it is
important to take account of the accessibility of the material.
This ought to be appropriate in language, literacy level and
cultural approach.
If a smoker is already motivated to try to quit, it may be of more
benefit during a clinical encounter, to provide a more intensive
intervention. Encouraging the use of appropriate pharmacotherapy
and offering personal encouragement will be of more benefit than
supplying self-help materials alone.
Self-help materials are likely to be most useful as part of
population-based approaches, where the number of people reached may
compensate for their small effect.
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TB, et al. Treating Tobacco Use and Dependence: 2008 Update.
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Lancaster T, Stead LF. Self-help interventions for smoking
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