Smoking cessation before age 30 is essential to avoiding tobacco-related disease and premature death (West, 2016). Best practice population-based strategies have been identified for tobacco cessation. The ambulatory care setting provides a key environment to identify tobacco users and provide them a customized approach for tobacco cessation. Tobacco cessation clinics consist of clinical pharmacists, and certified tobacco cessation providers. This service provides multiple strategies such as medications; including nicotine replacement strategies and bupropion, education for the risks of smoking/ benefits from quitting, a supportive group environment to assist with quitting attempts, help for patients to identify their motivating factors to quit and educate them on the behavioral and lifestyle modifications that can be made to overcome cravings and increase the success rates (Stack, 2007). The tobacco-cessation clinic consists of group and individual classes using the principles and interventions highlighted within the Public Health Service’s clinical practice guidelines. However, lack of insurance and cost variances may be a potential barrier for those seeking treatment at clinics. Exercise has been identified to promote adherence to cessation when used in addition to another intervention. According to (Ussher, 2014) a study group revealed significantly higher abstinence rates in a physically active versus sedentary individuals.
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