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Manual of Smoking Cessation: A Guide for Counsellors and Practitioners

ISBN: 978-0-470-75784-0
168 pages
April 2008, Wiley-Blackwell
Manual of Smoking Cessation: A Guide for Counsellors and Practitioners (0470757841) cover image


Manual of Smoking Cessation provides the crucial knowledge required if you are involved in helping smokers to stop. The manual provides facts, figures, suggested interventions and sources of further information to assist in providing evidence-based treatment for smokers wishing to stop. This manual covers the core content areas and key learning outcomes described in the Standard for Training in Smoking Cessation (Health Development Agency, 2003). Manual of Smoking Cessation is structured in two concise parts: Part 1 provides essential information on smoking demographics, along with the risks of smoking and the benefits of stopping; Part 2 offers a range of practical advice to implement with clients.

The Smoking Cessation Manual is an essential text for all those involved in the provision of smoking cessation services, including smoking cessation counsellors, nurses, pharmacists, doctors, health promotion officers, dental professionals, and other members of the health care team. The book is an invaluable resource for those learning about smoking cessation, and a succinct aide-memoire to those already practicing in the field.

The authors represent the 'who's who' in the field of smoking cessation and are affiliated to University College London and Cancer Research UK (Andy McEwen and Robert West), St Bartholomew's & Royal London School of Medicine and Dentistry (Peter Hajek), and the University of Auckland (Hayden McRobbie).

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Table of Contents

About the Authors.


Statements of Professional Interest.



Part 1: Essential Information.

Chapter 1: Smoking demographics.

1.1 Smoking patterns.

1.2 Smoking cessation.

1.3 Sources for updating prevalence statistics.

1.4 Multiple choice questions.

Chapter 2: The health risks of smoking and the benefits of stopping.

2.1 Smoking mortality.

2.2 Smoking morbidity.

2.3 Health benefits of smoking cessation.

2.4 Sources for updating health information and statistics.

2.5 Multiple choice questions.

Part 2: Practical Advice.

Chapter 3: Brief interventions.

3.1 Assessment and recording of smoking status.

3.2 Advising smokers to stop and assessing interest in quitting.

3.3 Compensatory smoking.

3.4 Reasons why stopping smoking can be difficult.

3.5 Treatment to help with stopping smoking.

3.6 Referral to local services.

3.7 Wider context.

3.8 Multiple choice questions.

Chapter 4: Intensive one-to-one support and advice.

4.1 Smoking cessation treatments and their outcome.

4.2 Assessment.

4.3 Pharmacotherapy.

4.4 Behavioural support – withdrawal oriented treatment.

4.5 Monitoring.

4.6 Multiple choice questions.

Chapter 5: Telephone counselling.

5.1 Recruiting smokers into treatment by telephone.

5.2 Behavioural support by telephone.

5.3 Multiple choice questions.

Chapter 6: Group interventions.

6.1 Recruitment and assessment.

6.2 Treatment programme for groups.

6.3 Group treatment content.

6.4 Monitoring and follow-up.

6.5 Multiple choice questions.

Answers to multiple choice questions.


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Author Information

Andy McEwen is Senior Research Nurse at the Cancer Research UK Health Behaviour Unit at University College London. His current research includes surveys of smokers and health professionals, pharmacokinetic studies on nicotine delivery systems and clinical trials of behavioural treatments; he also retains an interest in nursing research. In 1997 he began his clinical and academic career in smoking cessation with Robert West. In 2003 he took up his current post and is Director of the Smoking Cessation Services Research Network (SCSRN) and Programme Director of the UK National Smoking Cessation Conference (UKNSCC).

Peter Hajek is Professor of Clinical Psychology, Head of Psychology, and Director of Tobacco Dependence Research Unit at Barts and The London, Queen Mary's School of Medicine and Dentistry, University of London. His research is concerned primarily with understanding smoking behaviour, and developing and evaluating smoking cessation treatments. He has authored or co-authored over 200 publications, holds various academic and editorial appointments, and had input into the UK Government's initiative to establish smoking cessation services. His Unit is involved in examining both behavioural and pharmacological interventions, and in offering treatment to dependent smokers who seek help.

Dr Hayden McRobbie is a Research Fellow at the Clinical Trials Research Unit, University of Auckland, New Zealand where he specialises in smoking cessation research and treatment. He studied medicine at the University of Otago and after a several years in clinical medicine he moved to London to work with Professor Peter Hajek. He worked on a large number of projects and clinical trails looking at ways to help people stop smoking, as well pharmacological and behavioural methods that alleviate the symptoms of tobacco withdrawal. In New Zealand Hayden continues his research into treatment to help people stop smoking and retains close links with the UK where he is a Visiting Lecturer at Barts and The London, Queen Mary's School of Medicine and Dentistry, and Programme Director of the UK National Smoking Cessation Conference.

Robert West is Director of Tobacco Studies at the Cancer Research UK Health Behaviour Unit at University College London. He has been researching tobacco and nicotine dependence since 1982 and has published more than 250 scientific works. His research involves surveys of smoking patterns, clinical trials of aids to smoking cessation and laboratory studies of nicotine withdrawal symptoms. He is co-author of the English National Smoking Cessation Guidelines that provided the blueprint for the English Stop Smoking Services and is also Editor-in-Chief of the journal, Addiction.

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The Wiley Advantage

  • Distils the key messages to be incorporated in smoking cessation services.
  • Includes multiple choice questions to test and reinforce knowledge.
  • Arms the reader with frequently asked questions posed by clients, along with suggested ideal answers.
  • Offers model statements to share with clients, tailored to specific scenarios.
  • Provides advice on pharmacotherapies, including Nicotine Replacement Therapy (NRT) and Bupropion (Zyban); supplemented by appendices related to prescribing.
  • Coverage ranges from brief interventions to intensive one-to-one support, along with telephone counselling and group interventions.
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"Few quit-smoking books are as packed with relevant information or written in such a refreshingly concise manner. The authors break down the job of helping smokers into two basic components: 'Getting the essentials', which includes facts on smoking patterns, the health risks of smoking and the benefits of stopping; and 'Practical advice', which includes practitioner-friendly guidance for brief interventions, intensive one-on-one support, telephone counseling and group interventions. Throughout the manual, the authors offer many practical suggestions, including sample dialogue for health professionals. Sprinkled throughout each section are smokers' commonly asked questions and examples of clinician responses. The design of the book adds to its usefulness, with an engaging mix of text, bolded phrases, bulleted lists, boxed features such as quotes and myths, tables, referrals and resource materials. The Manual for Smoking Cessation is an informative, well-stated and sound practitioner guide."
Addiction, Vol 102: 2007<!--end-->

"This comprehensive manual on smoking cessation is clear, concise and accessible, making it attractive for lecturers and students, as well as busy practitioners and counsellors. Given the well-established health risks of smoking, the health benefits of smoking cessation should be the business of every healthcare professional. This manual makes a positive contribution to facilitating that process. [This book] covers smoking demographics, health risks of smoking and benefits of cessation. However the main thrust of the text is on practical advice, including brief interventions, one-to-one support, group interventions and telephone counselling. The manual is grounded in reality and does not underestimate the difficulties that people experience in combating nicotine addiction."
Nursing Standard, September 2006; Vol 21: No 2, 2006

“The book is user-friendly to the highest degree with regards to both its content and format. The broad field of smoking cessation is covered succinctly with knowledge that is based on available clinical evidence … .The size and the length … as well as the graphic design … enhance the manual's accessibility and utility. Its high practicality of use as a manual is also achieved by clear articulation of key messages … .Crucial ideas are presented in boxes and thus visually emphasized. The manual can also be used as a teaching aid … .The authors' model of smoking behavior is logically coherent and clinically consequential. [It] will certainly be an excellent source of practical information for anyone already engaged in or interested in working in the tobacco treatment field.” International Journal of Mental Health and Addiction

"The Manual of Smoking Cessation: A Guide for Counsellors and Practitioners expertly synthesises the evidence base with current good practice to produce detailed advice on how best to help smokers to quit… This clear guidance on what to do and say to smokers wanting to stop is supplemented by the clever use of suggested phrases and frequently asked questions throughout the text. The result is not merely another text book; the Manual is exactly what it says in the title, it is A Guide for Counsellors and Practitioners." From the Foreword by Gay Sutherland, Tobacco Research Unit, Institute of Psychiatry, London, UK

"There is a very large body of science about how to help smokers stop and the major strength of this book is its ability to translate this science into practice… The authors' long experience on the front lines of smoking cessation practice and cutting-edge research on smoking cessation is evident in the many practical and concrete recommendations. The format of the book makes it a pleasure to read."
John R. Hughes, M.D., Department of Psychiatry, University of Vermont, Burlington, USA

'In summary, West has written an important book about addiction. It is written by a researcher who knows the addiction area very well. Throughout the book the reader is exposed to a vast number of useful observations, in particular related to smoking cessation, which is his main research area. The review and evaluation of existing theories...from rational choice theories to neurobiological theories is amazing in terms of pinpointing their essence and shortcomings. The theoretical aims are timely, refreshing, ambitious and above all challenging. It opens up a new way of looking at addiction and has the potential to move the field of addiction a considerable leap forward.
Thus we wholeheartedly would like to recommend the book for students as well as scholars. Read and learn!'
Nordic Studies on Alcohol and Drugs, Vol 24, 2007

‘The book provides a comprehensive review of existing theories - over 30 in all - and this synthesis of theories constitutes an important contribution in and of itself...West is to be commended for his synthesis of addiction theories that span neurobiology, psychology and social science and for his insights into what remains unexplained.’
Addiction, Vol 101, Iss 7.

‘Robert West’s erudite, lucidly written Theory of Addiction takes the reader on an engaging tour of almost every significant conceptual system in the field … West adroitly finds gold amongst the lead, adds some previous gems of his own, and presents the field with a real treasure: an integrated, useful, thought-provoking and testable theory of addition.’
Keith Humphreys, PhD, Associate Professor of Psychiatry, Stanford University School of Medicine

‘This book is a tour de force, constructing step by step a wide-ranging theory of addiction … After summarising and assessing more than 30 previous theories, West draws on elements from economics, sociology, pharmacology and biology, along with a core of material from psychology, to put together a broad and testable theory of how people move into and out of addiction, and how social forces can affect this … The book will serve as a point of reference for years to come.’
Robin Room, Professor and Director, Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University

‘This volume is a welcome attempt at a synthesis of the plethora of theories and models that abound in the field of addiction.’
Wayne Hall, Professorial Research Fellow and Director, Office of Public Policy and Ethics, Institute for Molecular Bioscience, University of Queensland, Australia

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