This evidence report is a systematic review examining the scientific literature to identify what interventions are most effective for encouraging older smokers to quit. This review was conducted in coordination with the panel convened by the Agency for Healthcare Research and Quality to revise the smoking cessation clinical guideline. The key findings from this report are that individual, telephone, and group counseling, and pharmacotherapy are all effective in promoting smoking cessation. Furthermore, patients visiting physicians trained in smoking cessation had higher cessation rates than those who visited untrained physicians. Health insurance benefits for both counseling and nicotine replacement therapy produced the greatest number of quitters. HCFA, the Centers for Disease Control and Prevention, the National Cancer Institute, and the Administration on Aging are collaborating on a Demonstration Project to test the effectiveness of Medicare smoking cessation benefits in seven states (Alabama, Florida, Missouri, Ohio, Oklahoma, Nebraska, Wyoming).
Reprinted with permission from Office of Research, Development, and Information Centers for Medicare & Medicaid Services.
Originally published in: Evidence Report and Evidence-Based Report Recommendations: Interventions to Promote Smoking Cessation in the Medicare Population.
This report is part of the RAND Corporation reprint series. The Reprint was a product of the RAND Corporation from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.