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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Friday, July 14, 2006 - 2:30 PM
111-5

A Different Approach in Tobacco Dependence Treatment, an Uruguayan Experience

Eduardo Bianco, MD, Fondo Nacional de Recursos, 18 de Julio 985, 4 floor,, Montevideo, Uruguay

Objective: In spite of having excellent evidence-based smoking cessation programs , many smokers refused to be treated and a lot of them failed to quit . This presentation highlights the need for other tobacco treatment approach in order to seduce more smokers to quit and for increasing quitting rates and present an Uruguayan clinical experience with a non traditional smoking cessation approach.

Methods: An interesting clinical experience was developed since 1997 to 2004 in Uruguay, at the Smoking Cessation Program of Spanish Association Hospital. Over 2000 people were treated. In 2004, National Resource Founding (FNR) of Uruguay, decided to implement a smoking cessation program for free, using this experience. A progressive discontinuation approach with no specific quitting date , cognitive-behaviour strategies and pharmaceutical support (bupropion and nicotine gum) was used. The groups were open, so new and old participants work together .

Results: More than 3600 people received the treatment. Most of patients had mild to high addiction levels. It rapidly became overcrowded. When waiting list overcame 1.000, FNR stopped accepting new patient and training health care professional in order to expand the model. 300 people were trained and over 80 new programs were initiated using FNR model. Patients get abstinence after 2 week to 6 or 7 months of treatment. We havenxt got a long term evaluation yet. Data are being processed at the moment. The main remarkable result are very: high public acceptance of treatment and getting abstinence with no significant mood alteration .