Behavioral interventions for smoking cessation among adolescents: A rapid review and meta-analysis for the Korea Preventive Services Task Force
- Forfatter(e)
- Choi, Y. Lee, C. M. Cho, B. Lee, E. S. Oh, S. W. Lee, N. Yun, J. M.
- År
- 2021
- Tidsskrift
- Osong Public Health and Research Perspectives
- Sider
- 177-186
- Kategori(er)
- Tiltakstype(r)
- Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiPsykoedukative tiltak (inkl. videobasert modellæring)Rådgiving/støttesamtalerSkole/barnehagebaserte tiltak E-helsetiltak (spill, internett, telefon) Selvhjelp
- Abstract
Objectives: : The aim of this study was to evaluate the effectiveness of behavioral smoking cessation interventions among adolescents.
Method(s): MEDLINE, CENTRAL, Embase, CINAHL, KoreaMed, and KMbase were searched from inception to June 2020. Systematic reviews (SRs) or meta-analyses of randomized controlled trials (RCTs) were initially searched to perform a rapid SR. After selecting the final SR, RCTs after the publication year of the selected SR were searched. The primary outcome was smoking status after at least 6 months of follow-up, and the secondary outcome was smoking status at 4 weeks. Two reviewers independently assessed the selected studies' quality using the Cochrane risk of bias tool. The meta-analysis utilized a Mantel-Haenszel fixed-effect model reporting the relative risk (RR) and 95% confidence interval (CI). The subgroup analysis utilized Cochrane's Q.
Result(s): Thirty-two RCTs (11,637 participants) from a single SR were meta-analyzed. After 6 months of follow-up, the intervention group had significantly higher abstinence rates (RR, 1.30; 95% CI, 1.20-1.41; I2=26.46%). At 4 weeks of follow-up, the intervention group also had significantly higher abstinence rates (RR, 1.92; 95% CI, 1.49-2.47; I2=0.00%). The subgroup analysis indicated a significant difference in the abstinence rate according to the study setting and the period between intervention completion and follow-up.
Conclusion(s): This review showed that adolescent behavioral smoking cessation intervention programs significantly increased abstinence rates compared to the usual care. Copyright © 2021 Korea Centers for Disease Control and Prevention. All rights reserved.