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spacer.gif CDC COMMUNITY GUIDE: Increasing Tobacco Use Cessation: Reducing Client Out-of-Pocket Costs for Cessation TherapiesCdc spacer.gif
 
Ranking Evidence-Based Practice
Description These interventions include efforts to reduce the financial barriers that may keep people from using cessation therapies such as nicotine replacement, other pharmacologic therapies, or behavioral therapies including cessation groups. Services may be provided through the healthcare system or clients may be reimbursed for their expenses.

The Community Preventive Services Task Force recommends reducing client out-of-pockets costs for effective cessation therapies based on sufficient evidence of effectiveness in:
• Increasing use of the effective therapy
• Increasing the total number of tobacco-using clients who quit
Results / Accomplishments Results from the Systematic Reviews:
Five studies qualified for the review of this intervention.

• Use of cessation therapies: median increase of 7 percentage points (range: 6.5 to 28 percentage points; 3 studies)
• Tobacco use cessation rate (median follow-up time--9 months): median increase of 7.8 percentage points (range: 2.1 to 11 percentage points; 3 studies)
• All five studies evaluated interventions that reduced the cost of nicotine gum/replacement or provided it free-of-charge; three studies also provided access to a behavioral program for tobacco use cessation but differed in the involvement of this component in the intervention evaluated.
• Three studies provided nicotine gum/replacement free-of-charge while in one study the out-of-pocket costs to clients was less than one-fifth in the intervention group as compared to the control group.
Categories Health / Substance Abuse
Source Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location Country: USA
Primary Contact communityguide@cdc.gov
For more details http://www.thecommunityguide.org/index.html#topics

http://www.thecommunityguide.org/tobacco/cessat...
Target Audience Adults
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