Evidence-Based Practices for
Healthiest Wisconsin 2010

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Health priority: Tobacco use and exposure

Objective:  Tobacco cessation

1. Current cigarette smoking among all adults (18+) will decrease from 24 percent in 2000 to 19 percent in 2010.
2. Current cigarette smoking among young adults (18-24) will decrease from 40 percent in 2000 to 32 percent in 2010.

Sufficient Evidence for Effectiveness was found for the following interventions:

• Increase the unit price of tobacco products (PDF, 19 KB)
• Interventions for smoking cessation in hospitalized patients (PDF, 18 KB)
• Media campaigns with interventions  (PDF, 19 KB)
• Nicotine replacement therapy for smoking cessation (PDF, 19 KB)
• Provider reminder systems alone  (PDF, 19 KB)
• Provider reminders and provider education, with or without patient education (PDF, 20 KB)
• Quitter telephone support with interventions (PDF, 13 KB)
• Reducing patient costs for treatments (PDF, 19 KB)

Insufficient Evidence to Determine Effectiveness was found for the following interventions:

• Community interventions for reducing smoking among adults (PDF, 19 KB)
• Community pharmacy personnel interventions for smoking cessation (PDF, 19 KB)
• Enhancing partner support to improve smoking cessation (PDF, 19 KB)
• Exercise interventions for smoking cessation (PDF, 18 KB)
• Group behavior therapy programs for smoking cessation (PDF, 19 KB)
• Individual behavioral counseling for smoking cessation (PDF, 19 KB)
• Provider education systems alone (PDF, 19 KB)
• Provider feedback system (PDF, 19 KB)
• Relapse prevention interventions for smoking cessation (PDF, 23 KB)
• Smoking cessation contests (PDF, 19 KB)
• Smoking cessation series of public service announcements  (PDF, 19 KB)
• Tobacco harm reduction (THR) products (PDF, 19 KB)

Mixed Evidence was found for the following interventions:

• Interventions for smokeless tobacco use cessation (PDF, 19 KB)
• Self-help interventions for smoking cessation (PDF, 19 KB)
• Workplace interventions for smoking cessation (PDF, 19 KB)

Sufficient Evidence for Ineffectiveness was found for the following interventions:
(none)

Limitations/Comments:
The main resources used to describe evidence-based practices in tobacco control -The Guide to Community Preventive Services and the Centers for Disease Control and Prevention's (CDC) Best Practices - may not reflect the most current tobacco control practices. The Community Guide was published in February of 2001 and used studies mainly from the late 1980's and early 1990's to establish evidence-based practices. CDC's Best Practices report was published even earlier. Tobacco control is a rapidly developing field and innovative programs and policies which have not been evaluated are not examined in this review.

Additional resources:
Centers for Disease Control and Prevention. Best Practices for a Comprehensive Tobacco Control Program - August 1999. Atlanta GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, August 1999.

Centers for Disease Control and Prevention. Strategies for reducing exposure to environmental tobacco smoke, increasing tobacco use cessation, and reducing initiation in communities and health care systems. A report on recommendations from the Task Force on Community Preventive Services. MMWR 2000;49 (No. RR-12): 1-20.

Guide to Community Preventive Services: Systematic Reviews and Evidence Based Recommendations. American Journal of Preventive Medicine. Vol. 20, No. 2 (Supplement). February 2001. Available online at: http://www.thecommunityguide.org/tobacco/ (exit DHS)

Martin EG, Warner KE, Lantz PM. Tobacco harm reduction: what do the experts think? Tobacco Control 2004; 13(2):123-8.

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