The Evidence Base

Patient Outcomes

Studies indicate that evidence-based quitlines are effective, and the 2008 Tobacco Clinical Practice Guidelines conclude that quitline counseling increases the likelihood of successful quitting by about 60%.1

1North American Quitline Consortium (NAQC) (2009). Issue Paper: Measuring Quit Rates.  

QUiTWORKS-RI offers five proven elements recommended by the U.S. Public Health Service1 and the Centers for Disease Control and Prevention2 (CDC):

  • Tools to systematically identify smokers
  • Prompts to guide providers to intervene with smokers and offer pharmacotherapy
  • Proactive telephone counseling for smokers > 30 minutes
  • Patient education materials
  • Feedback reports to providers

1Treating Tobacco Use and Dependence: Clinical Practice Guideline 2008 Update
2Guide to Community Preventive Services

Successful Behavior Change

QUiTWORKS-RI counseling is based on accepted behavior change models and counseling practices.

  • Social Learning Theory: Smoking is a learned behavior and can be unlearned. Seeks to increase self-regulation and self-efficacy.
  • Motivational Interviewing:  Seeks to resolve ambivalence around smoking and increase internal motivation. Engages the patient in generating solutions, rather than telling the patient what to do.

Highlighted Steps from the Clinical Guidelines

  • Assess every patient for tobacco use at every visit
  • Combining counseling and pharmacotherapy produces the best results
  • Effective drugs include:
    • Nicotine replacement therapy (patch, gum, lozenge, nasal spray, inhaler)
    • Burpropion (antidepressant; Zyban® or Wellbutrin SR®)
    • Varenicline (nicotine receptor agonist; Chantix™)