02-005 · EVIDENCE A · SOURCE-SENSITIVE

Visit a smoking cessation clinic or call 12320 to find local services

去戒烟门诊,或者打 12320 问当地有没有戒烟服务

Source cost

A single clinic visit costs only a few to dozens of yuan. Behavioral support typically involves 4–8 sessions lasting 30–60 minutes each, totaling under 5 hours. Calling the helpline is completely free.

Source return

Medications and regular follow-up support from professionals are two distinct components that work best together. People who take medication while receiving dedicated follow-up have nearly twice the quit rate of those who only receive brief advice. Phone support also helps: those who proactively call the smoking cessation helpline see their success rate rise by 20–30% compared to others.

Evidence grade

A

THE LOW-ROI DETOURSatire, not advice

Move “Visit a smoking cessation clinic or call 12320 to find local services” to Future Me's calendar

The excuse

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

What feels good now

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

What the source says

The source summarizes the return this way: “Medications and regular follow-up support from professionals are two distinct components that work best together. People who take medication while receiving dedicated follow-up have nearly twice the quit rate of those who only receive brief advice. Phone support also helps: those who proactively call the smoking cessation helpline see their success rate rise by 20–30% compared to others.” Evidence grade A. The original states the population, caveats, and sources; this is not a personal forecast.

THE ENGLISH EDITION

Original recommendation and evidence

Source commit a994b6a0c905

5. Visit a smoking cessation clinic or call 12320 to find local services

Cost: A single clinic visit costs only a few to dozens of yuan. Behavioral support typically involves 4–8 sessions lasting 30–60 minutes each, totaling under 5 hours. Calling the helpline is completely free.

In plain terms: Medications and regular follow-up support from professionals are two distinct components that work best together. People who take medication while receiving dedicated follow-up have nearly twice the quit rate of those who only receive brief advice. Phone support also helps: those who proactively call the smoking cessation helpline see their success rate rise by 20–30% compared to others.

Benefit: Across 52 trials involving 19,488 participants, the combination of medication and behavioral support led to a 1.83-fold higher quit rate than standard care or brief advice (RR 1.83, 95% CI 1.68–1.98; high-quality evidence). For the 43 trials conducted in medical settings, this advantage rose to 1.97-fold (95% CI 1.79–2.18). When looking at phone-based support alone: among people who called the helpline themselves, those receiving multiple follow-up calls had a 38% higher quit rate than those who only got informational materials or a single consultation (RR 1.38, 95% CI 1.19–1.61; 14 trials, 32,484 participants). For people who did not call the helpline but received scheduled phone support from researchers, the success rate was 25% higher than those without such support (RR 1.25, 95% CI 1.15–1.35; 65 trials, 41,233 participants). Both findings are supported by evidence of moderate certainty.

Evidence grade: A

Sources: Stead LF, Koilpillai P, Fanshawe TR, Lancaster T (2016). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database of Systematic Reviews, 3, CD008286. <https://doi.org/10.1002/14651858.CD008286.pub3>; Matkin W, Ordóñez-Mena JM, Hartmann-Boyce J (2019). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 5, CD002850. <https://doi.org/10.1002/14651858.CD002850.pub4>; China CDC (2021). "China smoking cessation platform"WeChat mini program officially launched: "Under the guidance of the Healthy China Action Tobacco Control Action Working GroupChina CDCTogether with the World Health Organization Representative Office in China, we created the WeChat mini program "China Smoking Smoking Platform", China's authoritative smoking cessation resource library. The content of the mini program mainly includes: Quitline, Detailed information on smoking cessation clinics and online smoking cessation service resources, etc."; Same site footer annotation"Health consultation phone number: 12320". <https://www.chinacdc.cn/jkyj/yckz/gzdt/202203/t20220310_296389.html>

Notes: How to find local services in China: Search “China Smoking Cessation Platform” on WeChat to access a list of local smoking cessation clinics and helplines, or call 12320 to ask about nearby options. Most of the above trials were conducted overseas, and the intensity of services at local clinics varies widely; these figures should be viewed as general guidelines only. The recommended medications are listed in Section 3 of this chapter (“Smoking cessation medications”).

Read the complete Chinese source and notes

5. 去戒烟门诊,或者打 12320 问当地有没有戒烟服务

成本: 挂一次号几元到几十元。行为支持一般是 4 到 8 次面谈,每次半小时到一小时,加起来多在 5 小时以内。打热线不花钱。

说人话: 药和「有人定期问你」是两件事,合起来最管用。一边吃药一边有专人跟进的人,戒成的比例接近只听一句简短建议的人的两倍。电话也算:主动打回来的戒烟热线,能把成功率再提高两三成。

收益: 52 项试验、19488 人合起来算,药物加行为支持组的戒烟成功率是常规照护或简短建议组的 1.83 倍(RR 1.83,95% CI 1.68–1.98,这是可信范围;高质量证据)。在医疗机构招募的那 43 项试验里是 1.97 倍(1.79–2.18)。电话咨询单独算:在自己打过戒烟热线的人里,接受多次主动回访的比只拿到材料或只谈一次的高约 38%(RR 1.38,95% CI 1.19–1.61,14 项试验、32484 人);没主动打过热线、由研究方提供电话咨询的,高约 25%(RR 1.25,95% CI 1.15–1.35,65 项试验、41233 人)。两项都是中等确定性证据。

证据等级: A

来源: Stead LF, Koilpillai P, Fanshawe TR, Lancaster T (2016). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database of Systematic Reviews, 3, CD008286. <https://doi.org/10.1002/14651858.CD008286.pub3>;Matkin W, Ordóñez-Mena JM, Hartmann-Boyce J (2019). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 5, CD002850. <https://doi.org/10.1002/14651858.CD002850.pub4>;中国疾病预防控制中心 (2021). 「中国戒烟平台」微信小程序正式上线:「在健康中国行动控烟行动工作组指导下中国疾病预防控制中心和世界卫生组织驻华代表处联合制作了中国权威戒烟资源库『中国戒烟平台』微信小程序。小程序内容主要包括:戒烟热线、戒烟门诊详细信息,以及线上戒烟服务资源等」;同一站点页脚标注「健康咨询电话:12320」. <https://www.chinacdc.cn/jkyj/yckz/gzdt/202203/t20220310_296389.html>

备注: 国内怎么找:微信搜「中国戒烟平台」小程序,里面有各地戒烟热线和戒烟门诊的名单;也可以打 12320 问当地有没有戒烟门诊。上面的试验多数在国外做,各地戒烟门诊的服务强度差别很大,数字只能当方向看。要配的药见本节第 3 条(戒烟药)。

Author's scope notes: 国内怎么找:微信搜「中国戒烟平台」小程序,里面有各地戒烟热线和戒烟门诊的名单;也可以打 12320 问当地有没有戒烟门诊。上面的试验多数在国外做,各地戒烟门诊的服务强度差别很大,数字只能当方向看。要配的药见本节第 3 条(戒烟药)。

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Original content by eternity4719 under CC BY 4.0. English translation is credited in the source notes. HowToLiveWorse adds a clearly labeled satirical response.

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