Varenicline and behavioural interventions may help ST users to quit. Behavioural interventions incorporating telephone counselling or an oral examination are likely to increase abstinence rates.
A randomized trial of telephone counseling with adult moist snuff users.
To evaluate telephone counseling for moist snuff use.
                We recruited 221 adult males using snuff and randomized them into a telephone-counseling intervention or a quit-manual comparison group. Subjects were contacted by mail at 3 and 6 months to complete a 4-page follow-up questionnaire.
                A significantly higher proportion of subjects randomized to the intervention quit tobacco at each time point compared to the comparison group.
                With appropriate staff training, moist snuff and other types of nonsmoked tobacco should be added to the state-funded smoking cessation quit lines started in recent years.