Table 1

Incremental effects of smoking cessation interventions on abstinence for six months or longer

Intervention Target population Effect size1-a 95% confidence interval1-b
Brief opportunistic advice from a physician to stopSmokers attending GP surgeries or outpatient clinics2%1% to 3%
Face to face intensive behavioural support from a specialist1-c Moderate to heavy smokers seeking help with stopping7%3% to 10%
Face to face intensive behavioural support from a specialistPregnant smokers7%5% to 9%
Face to face intensive behavioural support from a specialist1-d Smokers admitted to hospital4%0% to 8%
Proactive telephone counselling1-e Smokers wanting help with stopping but not receiving face to face support2%1% to 4%
Written self-help materialsSmokers seeking help and not receiving other support1%0% to 2%
Nicotine gumModerate to heavy smokers receiving limited behavioural support1-f 5%4% to 6%
Nicotine gumModerate to heavy smokers receiving intensivebehavioural support8%6% to 10%
Nicotine transdermal patchModerate to heavy smokers receivinglimited behavioural support5%4%-7%
Nicotine transdermal patchModerate to heavy smokers receiving intensivebehavioural support6%5% to 8%
Nicotine nasal sprayModerate to heavy smokers receivingintensive behavioural support12%7% to 17%
Nicotine inhalatorModerate to heavy smokers receivingintensive behavioural support8%4% to 12%
Nicotine sublingual tabletModerate to heavy smokers receiving intensive behavioural support8%1% to 14%
Bupropion (300 mg/day sustained release)Moderate to heavy smokers receivingintensive behavioural support9%5% to 14%
Intensive behavioural support plus NRT or bupropion1-g Moderate to heavy smokers seeking help from a smokers' clinic13–19%
  • 1-a Difference in >6 month abstinence rate between intervention and control/placebo in the studies reported; data from Cochrane meta-analyses unless otherwise stated.

  • 1-b The range within which one can be 95% confident that the true underlying value lies.

  • 1-c Efficacy figures based on subset of studies from general population with biochemical verification.

  • 1-d No Cochrane review available, data from USDHHS meta-analysis.6

  • 1-e No Cochrane review available, data from USDHHS meta-analysis.6

  • 1-f The term “limited behavioural support” refers to brief sessions required primarily for collecting data. Following the Cochrane definition, “intensive” behavioural support was defined as an initial session of more than 30 minutes, or an initial session of less than 30 minutes plus more than two subsequent visits.

  • 1-g Expected effect combining effect of medication with effect of behavioural support.