Which service is strongly supported for tobacco cessation?

• A. Screening for tobacco use with evidence-based cessation interventions
• B. Counseling only
• C. Pharmacotherapy only
• D. No intervention is recommended

Answer: (A)

Screening all adults for tobacco use and providing evidence-based cessation interventions is the strongest service supported. This approach combines identifying who uses tobacco with practical help that has proven effectiveness, which is why it carries a high level of confidence from the USPSTF. Evidence-based cessation interventions include brief, structured counseling during clinical encounters and FDA-approved medications such as nicotine replacement therapy, bupropion, and varenicline, used alone or in combination. When screening is followed by these proven supports, quit rates improve significantly compared with no intervention or with counseling or pharmacotherapy used in isolation. So, the comprehensive approach of screening plus evidence-based help is more impactful than counseling alone, pharmacotherapy alone, or doing nothing.