![]() To find articles related to quitting smoking, we considered one of the following keywords from a title: Quit or cessation, NRT, Champix or Varenicline or Chantix, Zyban or Bupropion sustained-release, Combination Therapy, Training, Self-learning material, Behavior Therapy, Quit and Win, Hypnosis, Telephone consulting, Acupuncture, Interactive Voice Response (IVR), E-Cigarettes, pharmacological treatments, Non-pharmacological treatments, Personal Methods, Non-nicotine medications. This study specifically targeted decision makers in Iran to enable a quantitative systematic review based on the two following two main questions:īased on a cross-sectional study, English publications from 2000 to 2012 in PubMed were selected. This would allow for development of an appropriate framework necessary to assess different methods in order to select the best approaches for essential interventions at the country level. Thus, it was considered beneficial to identify the best current evidence and incorporate the latest outcomes. Now after 9 years from the first educational interventions for quitting smoking and one of two complementary integrated programs in the primary health care network, the situation for counseling, human resources and medication is not suitable at the country level and there is insufficient documentation and studies in this regard. However, the evidence showed that it can double or triple quit rates. ![]() In general, medication is more expensive than medical counseling and quit lines. Medication includes nicotine replacement therapy (NRT) (patches, gum, sublingual tablets, lozenges, inhalers and nasal spray) and prescribed drugs such as Bupropion and Varenicline. In addition to clinical counseling and quit lines for consultation, an effective treatment can include medication. Even old telephone line systems that responded only to incoming calls showed very significant results. Moreover, it is important to provide the quit lines services free- of- charge from any telephone. These interventions are effective because they are offered by health care providers, who are respected by the public and smokers also have a good relationship with them. This intervention is relatively cost-effective, because it is part of the existing health care services which are used by the majority of smokers. Furthermore, counseling by health workers increases quit rates. Repeated consultation is important in reinforcing the necessity of quitting smoking at every clinical visit. It also is important to match the treatment method to the local and cultural context as well as to clients’ current needs. The cost of these methods differs, however and these methods are not equally effective. This effort consists of different methods such as simple clinical counseling, medications and quit lines. One of the most important responsibilities of a countries’ health care system is to treat nicotine dependence. Among smokers who are aware of the ill effects of smoking, 3 out of 4 individuals are interested in quitting.
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