Evid Based Nurs 15:3-4 doi:10.1136/ebn.2011-100224
  • Health promotion
  • Randomised controlled trial

In smokers not willing to quit, counselling on smoking reduction plus free nicotine replacement therapy, compared with one-off cessation advice, increases the proportion achieving abstinence or reduction in smoking rate at 6 months

  1. Roberta Heale
  1. School of Nursing, Laurentian University, Sudbury, Canada
  1. Correspondence to Roberta Heale
    School of Nursing, Laurentian University, Ramsey Lake Road, Sudbury, Ontario P3E2C6, Canada; rheale{at}

Commentary on:

Implications for practice and research

  • Counselling for smoking reduction along with free nicotine replacement therapy (NRT) are effective nursing interventions in reducing cigarette consumption and facilitating smoking cessation with the person who is not motivated to quit.

  • Counselling about adherence to NRT may not be effective, however, further research about this intervention is warranted.


Smoking rates have decreased but remain a global health problem. Intervention with smokers, such as the 5A's (ask, advise, assess, assist, arrange), has traditionally been dedicated to the person who wants to quit smoking.1 This study adds to the growing research that supports intervention with smokers who do not want to quit. The researchers sought to determine the effectiveness of smoking reduction counselling along with free NRT …

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