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2.3.4 Tobacco cessation ............................................................................................................................................................ 27
2.4 Treatment of tobacco dependence after cessation ......................................................................................................... 27
2.5 Prevention of relapse .......................................................................................................................................................... 28
References ................................................................................................................................................................................. 28

3.0 Brief advice on stopping tobacco use .........................................................................................................................29
3.1 General recommendations ................................................................................................................................................ 30
3.2 Intervention plan for medical personnel involved in assisting smokers .................................................................... 30
3.3 Recommendations for general practitioners .................................................................................................................. 30
3.4 Recommendation for hospitalized patients .................................................................................................................... 31
3.5 Recommendation for pregnant women .......................................................................................................................... 31
3.6 Recommendation for patients with elective surgery ..................................................................................................... 31
References ..................................................................................................................................................................................32

PART TWO
4.0 Standard tobacco treatment interventions ................................................................................................................33
4.1. Therapeutic interventions for tobacco use and tobacco dependence ........................................................................ 35
4.1.1 Therapeutic intervention to stop smoking is mandatory ........................................................................................... 35
4.1.2 Standard approach to quitting smoking ....................................................................................................................... 36
4.1.3 Effectiveness of treatment for tobacco use and dependence (Assist ....................................................................... 39
4.1.4 Follow-up Support (Arrange .......................................................................................................................................... 39
4.1.5 Health care systems approach for tobacco use and dependence treatments ....................................................... 40
4.1.6 Types of smoking cessation interventions ................................................................................................................... 41
4.1.6.1 Minimal (brief advice .................................................................................................................................................... 41
4.1.6.2 Specialized individual interventions towards stopping smoking ........................................................................... 41
References ................................................................................................................................................................................. 42
4.2 Behavioural Counselling .................................................................................................................................................... 43
4.2.1 Psychological support for smoking cessation ............................................................................................................. 43
References ................................................................................................................................................................................. 45
4.2.2 Cognitive-behavioural therapy (CBT) ............................................................................................................................. 45
References ................................................................................................................................................................................. 46
4.2.3 Motivational interviewing (MI .......................................................................................................................................... 47
References ................................................................................................................................................................................. 49
4.2.4 Delivery Format ................................................................................................................................................................ 49
4.2.4.1 Individual smoking cessation counselin.................................................................................................................... 49
4.2.4.2 Group smoking cessation counseling ....................................................................................................................... 49
References ................................................................................................................................................................................. 50
4.2.4.3 Telephone support and quit lines ............................................................................................................................... 50
References ................................................................................................................................................................................. 51
4.2.4.4 Self-help materials ....................................................................................................................................................... 51

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