Strategies for cessation should be agreed in the individual case, and unorthodox solutions suggested by patients, such as keeping tobacco handy, need to be discussed.
The relevance of these findings in an Aboriginal community sample of reproductive age, where prevalence is slow to decline, is that these factors can be used to guide strategies for cessation.
These findings reinforce a model of nicotine addiction based on desensitization of up-regulated nAChRs and introduce a potential new strategy for smoking cessation therapy in which drugs such as saz-A can promote smoking cessation without maintaining nAChR up-regulation, thereby potentially increasing the rate of long-term abstinence from nicotine.
Increasing physical activity has shown some promise as a strategy for improving cessation outcomes.
Training health professionals to give advice, in isolation, is probably not an efficacious strategy for smoking cessation (level of evidence: A).
Closely related to this is the stage-of-change concept, which is used in the minimal intervention strategy for smoking cessation [ 22, 23].
There still is no consensus on the use of spirometry as a strategy for smoking cessation, given that there is insufficient scientific evidence from high quality studies to recommend the use of this technique.
In light of this study, it is recommended that more research needs to be done on the effectiveness of increasing taxes on cigarettes as an effective strategy for smoking cessation (30).
This implies that further reductions in MV duration might be attainable, perhaps by fine-tuning the screening criteria as discussed above, or by instituting a daily strategy for the cessation of sedation.
Of consideration, however, is the apparent disconnect between provider and youth recommended strategies for supporting cessation.
This research may inform the development of adjunct strategies for smoking cessation.
