Tobacco: preventing uptake, promoting quitting and treating dependence

National Institute for Health and Care Excellence (2021)

NICE - N/A

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Evidence Categories

• Care setting: Healthcare Setting
• Care setting: Community setting
• Care setting: Workplace setting
• Population group: Adults
• Population group: Pre existing health condition
• Population group: Pregnancy/ post-partum
• Population group: Children & Young adults
• Intervention: Bupropian
• Intervention: Multicomponent Interventions
• Intervention: Other Psychosocial Therapies
• Intervention: Cognitive Behaviour Therapy
• Intervention: Electronic Nicotine Delivery System
• Intervention: Self-Help Materials
• Intervention: Behaviour Support
• Intervention: Other Pharmacotherapies
• Intervention: Nicotine Replacement Therapy
• Intervention: Varenicline
• Intervention: Universal Smoking Cessation Interventions
• Outcome: Smoking cessation
• Outcome: Smoking Intention to Quit
• Outcome: Smoking Relapse Prevention

Type of Evidence

Guidance

Overview

This guideline covers support to stop smoking for everyone aged 12 and over, and help to reduce people's harm from smoking if they are not ready to stop in one go. It also covers ways to prevent children, young people and young adults aged 24 and under from taking up smoking. The guideline brings together and updates all NICE's previous guidelines on using tobacco, including smokeless tobacco. It covers nicotine replacement therapy and e-cigarettes to help people stop smoking or reduce their harm from smoking. It does not cover using tobacco products such as ‘heat not burn’ tobacco.

Recommendations

This guideline includes new and updated recommendations on:

• adult-led interventions in schools
• stop-smoking interventions
• support to stop smoking in secondary care services
• adherence and relapse prevention
• identifying pregnant women who smoke and referring them for stop-smoking support
• providing support for women to stop smoking during and after pregnancy
• commissioning and designing services

It also includes recommendations on:

• organising and planning national, regional or local mass-media campaigns
• campaign strategies to prevent uptake and denormalise tobacco use
• helping retailers avoid illegal tobacco sales
• coordinated approach to school-based interventions
• whole-school or organisation-wide smokefree policies
• peer-led interventions in schools
• using medicinally licensed nicotine-containing products
• promoting stop-smoking support
• promoting support for people to stop using smokeless tobacco
• identifying and quantifying people's smoking
• support to stop smoking in primary care and community settings
• supporting people who do not want, or are not ready, to stop smoking in one go to reduce their harm from smoking
• stopping use of smokeless tobacco
• following up pregnant women who have been referred for stop smoking support
• policy
• training