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  1. P Aveyard,
  2. M Munafo,
  3. M Murphy,
  4. E Johnstone
  1. Department of Primary Care and General Practice, University of Birmingham, Birmingham, UK
  1. Dr P Aveyard, Department of Primary Care and General Practice, University of Birmingham, Birmingham B15 2TT, UK; p.n.aveyard{at}bham.ac.uk

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As we reported, this trial took place in the UK National Health Service (NHS) Stop Smoking Service. The NHS has developed standards for training in behavioural support.1 Stop Smoking Service coordinators oversee this training and the quality of services provided in the NHS, which may involve fidelity checks and, in the region we studied, mandatory annual update training.

Greaves emphasises psychological techniques that he states are necessary for the efficacy of behavioural support. Trials in smoking cessation do not show whether or …

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