The article is a systematic review published in the Cochrane Database of Systematic Reviews. The review evaluates the effectiveness of various interventions aimed at reducing the harm associated with continued tobacco use among individuals who are unable or unwilling to quit smoking. These interventions include the use of nicotine replacement therapy (NRT), varenicline, bupropion, electronic cigarettes, and other potential reduced-exposure products (PREPs). The review synthesizes findings from 24 trials, analyzing outcomes such as smoking reduction, cessation rates, and changes in biomarkers of tobacco exposure and health risks. While some evidence suggests that NRT can help reduce cigarette consumption and increase quit rates, the overall quality of evidence for other interventions remains low to very low, indicating a need for further high-quality research in this area. The authors conclude that while some harm reduction strategies may assist smokers in reducing cigarette intake, the evidence is insufficient to fully support their effectiveness in reducing long-term health risks.
This course is based on the reading-based online article, Interventions to Reduce Harm from Continued Tobacco Use created by Nicola Lindson-Hawley, PhD (Behavioral Medicine) et al. in 2016.
Publication Date:
1st Edition 2016
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Nicola Lindson-Hawley, PhD (Behavioral Medicine)
Dr. Lindson works as a University Research Lecturer at the Nuffield Department of Primary Care Health Sciences, University of Oxford. She is the Managing Editor of the Cochrane Tobacco Addiction Group. Nicola does research in the areas of smoking cessation and tobacco harm reduction and has had more than 100 works published in peer reviewed journals.
Jamie Hartmann-Boyce, MA, Dphil
Dr. Hartman-Boyce is an associate professor at the University of Oxford. Her research focuses on evidence synthesis (both quantitative and qualitative) and the communication of complex information and data to inform policy and public action. She has more than 100 works published in peer reviewed journals.
Allison Brown holds a BS degree in Criminal Justice with a Psychology focus and a Master’s degree in Social Work from Loyola University Chicago. She is a Licensed Clinical Social Worker who currently works at a Long-Term Insurance company bringing clinical experience to claim processes. Additionally, she developed and continues to lead the Continuing Education Program for Social Workers and Nurses and often leads complex process improvement projects Prior to this, her primary focus was in mental health and worked in both the outpatient and inpatient settings providing support to adults with mental illness.
Recommended For:
Addiction professionals, counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Describe the Effectiveness of Harm Reduction Interventions.
Analyze Evidence Quality and Research Gaps.
Identify the Implications of Harm Reduction for Public Health.
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Material Authors
Any relevant financial disclosures for course material authors can be found in the article.
Course Creator
Allison Brown, LCSW 149014591 – No relevant financial relationships.
Commercial support
There is no commercial support for this distance-learning course.
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