Smoking cessation strategies should be geared to the target group's le
vel of motivation to quit, and degree of: tobacco addiction. Motivatio
nal interventions (e.g. media campaigns) aim to encourage more people
to try to stop smoking. Treatment interventions (e.g. nicotine replace
ment) aim to increase the chances of a quit attempt being successful.
In populations which have already been saturated by motivational inter
ventions, the overall effect of adding further motivational interventi
ons may be rather small, and possibly non-existent in heavy smokers. A
s a population's smoking prevalence declines, so the balance of interv
entions should shift from motivational to treatment approaches. Nicoti
ne replacement is an effective smoking cessation aid and should form t
he basis for treating moderate to heavy smokers. There may be a case f
or the development of more specialist clinics to treat motivated but a
ddicted smokers and train health professionals how to apply effective
smoking cessation methods as part of their routine work.