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Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses
BACKGROUND: Although non-pharmacological smoking cessation measures have been widely used among smokers, current research evidence on the effects of smoking cessation is inconsistent and of mixed quality. Moreover, there is a lack of comprehensive evidence synthesis. This study seeks to systematical...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542700/ https://www.ncbi.nlm.nih.gov/pubmed/37775745 http://dx.doi.org/10.1186/s12916-023-03087-z |
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author | Nian, Tao Guo, Kangle Liu, Wendi Deng, Xinxin Hu, Xiaoye Xu, Meng E, Fenfen Wang, Ziyi Song, Guihang Yang, Kehu Li, Xiuxia Shang, Wenru |
author_facet | Nian, Tao Guo, Kangle Liu, Wendi Deng, Xinxin Hu, Xiaoye Xu, Meng E, Fenfen Wang, Ziyi Song, Guihang Yang, Kehu Li, Xiuxia Shang, Wenru |
author_sort | Nian, Tao |
collection | PubMed |
description | BACKGROUND: Although non-pharmacological smoking cessation measures have been widely used among smokers, current research evidence on the effects of smoking cessation is inconsistent and of mixed quality. Moreover, there is a lack of comprehensive evidence synthesis. This study seeks to systematically identify, describe, and evaluate the available evidence for non-pharmacological interventions in smoking populations through evidence mapping (EM), and to search for best-practice smoking cessation programs. METHODS: A comprehensive search for relevant studies published from the establishment of the library to January 8, 2023, was conducted in PubMed, Web of Science, Embase, the Cochrane Library, CNKI, CBM, Wan Fang, and VIP. Two authors independently assessed eligibility and extracted data. The PRISMA statement and AMSTAR 2 tool were used to evaluate the report quality and methodology quality of systematic reviews/meta-analyses (SRs/MAs), respectively. Bubble plots were utilized to display information, such as the study population, intervention type, evidence quality, and original study sample size. RESULTS: A total of 145 SRs/MAs regarding non-pharmacological interventions for smoking cessation were investigated, with 20 types of interventions identified. The most commonly used interventions were cognitive behaviour education (n = 32, 22.07%), professional counselling (n = 20, 13.79%), and non-nicotine electronic cigarettes (e-cigarettes) (n = 13, 8.97%). Among them, counselling and behavioural support can improve smoking cessation rates, but the effect varies depending on the characteristics of the support provided. These findings are consistent with previous SRs/MAs. The general population (n = 108, 74.48%) was the main cohort included in the SRs/MAs. The total score of PRISMA for the quality of the reports ranged from 8 to 27, and 13 studies (8.97%) were rated as high confidence, and nine studies (6.21%) as moderate confidence, in the AMSTAR 2 confidence rating. CONCLUSIONS: The abstinence effect of cognitive behaviour education and money incentive intervention has advantages, and non-nicotine e-cigarettes appear to help some smokers transition to less harmful replacement tools. However, the methodological shortcomings of SRs/MAs should be considered. Therefore, to better guide future practice in the field of non-pharmacological smoking cessation, it is essential to improve the methodological quality of SRs and carry out high-quality randomized controlled trials (RCTs). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12916-023-03087-z. |
format | Online Article Text |
id | pubmed-10542700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105427002023-10-03 Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses Nian, Tao Guo, Kangle Liu, Wendi Deng, Xinxin Hu, Xiaoye Xu, Meng E, Fenfen Wang, Ziyi Song, Guihang Yang, Kehu Li, Xiuxia Shang, Wenru BMC Med Research Article BACKGROUND: Although non-pharmacological smoking cessation measures have been widely used among smokers, current research evidence on the effects of smoking cessation is inconsistent and of mixed quality. Moreover, there is a lack of comprehensive evidence synthesis. This study seeks to systematically identify, describe, and evaluate the available evidence for non-pharmacological interventions in smoking populations through evidence mapping (EM), and to search for best-practice smoking cessation programs. METHODS: A comprehensive search for relevant studies published from the establishment of the library to January 8, 2023, was conducted in PubMed, Web of Science, Embase, the Cochrane Library, CNKI, CBM, Wan Fang, and VIP. Two authors independently assessed eligibility and extracted data. The PRISMA statement and AMSTAR 2 tool were used to evaluate the report quality and methodology quality of systematic reviews/meta-analyses (SRs/MAs), respectively. Bubble plots were utilized to display information, such as the study population, intervention type, evidence quality, and original study sample size. RESULTS: A total of 145 SRs/MAs regarding non-pharmacological interventions for smoking cessation were investigated, with 20 types of interventions identified. The most commonly used interventions were cognitive behaviour education (n = 32, 22.07%), professional counselling (n = 20, 13.79%), and non-nicotine electronic cigarettes (e-cigarettes) (n = 13, 8.97%). Among them, counselling and behavioural support can improve smoking cessation rates, but the effect varies depending on the characteristics of the support provided. These findings are consistent with previous SRs/MAs. The general population (n = 108, 74.48%) was the main cohort included in the SRs/MAs. The total score of PRISMA for the quality of the reports ranged from 8 to 27, and 13 studies (8.97%) were rated as high confidence, and nine studies (6.21%) as moderate confidence, in the AMSTAR 2 confidence rating. CONCLUSIONS: The abstinence effect of cognitive behaviour education and money incentive intervention has advantages, and non-nicotine e-cigarettes appear to help some smokers transition to less harmful replacement tools. However, the methodological shortcomings of SRs/MAs should be considered. Therefore, to better guide future practice in the field of non-pharmacological smoking cessation, it is essential to improve the methodological quality of SRs and carry out high-quality randomized controlled trials (RCTs). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12916-023-03087-z. BioMed Central 2023-09-29 /pmc/articles/PMC10542700/ /pubmed/37775745 http://dx.doi.org/10.1186/s12916-023-03087-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Nian, Tao Guo, Kangle Liu, Wendi Deng, Xinxin Hu, Xiaoye Xu, Meng E, Fenfen Wang, Ziyi Song, Guihang Yang, Kehu Li, Xiuxia Shang, Wenru Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title | Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title_full | Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title_fullStr | Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title_full_unstemmed | Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title_short | Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
title_sort | non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10542700/ https://www.ncbi.nlm.nih.gov/pubmed/37775745 http://dx.doi.org/10.1186/s12916-023-03087-z |
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