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Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
Naae Lee, Eon Sook Lee, Jae Moon Yun, Cheol Min Lee, Seung-Won Oh, Younglee Choi, Belong Cho
Osong Public Health Res Perspect. 2021;12(4):244-253.   Published online July 6, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0017
  • 6,810 View
  • 105 Download
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to assess the effectiveness of relapse prevention interventions involving behavioral and pharmacological treatment among abstinent smokers.
Methods
This rapid review was conducted using MEDLINE, Cochrane CENTRAL, CINAHL, Embase, KMbase, and KoreaMed to identify studies published until June 20, 2020. The participants were abstinent smokers who quit smoking on their own, due to pregnancy, hospitalization, or by participating in a smoking cessation program. We found a systematic review that fit the objective of this study and included 81 randomized controlled trials (RCTs). Studies that did not present information on smoking cessation status, had no control group, or used reward-based interventions were excluded. Random effect and fixed effect meta-analyses were used to estimate the relative risk (RR) and 95% confidence interval (CI). In subgroup analyses, differences between subgroups were verified based on the participant setting, characteristics, intervention type, and intensity.
Results
Following screening, 44 RCTs were included in the meta-analysis. The review reported no differences in the success rate of relapse prevention between the behavioral interventions. Pharmacotherapy interventions showed higher success rates (RR, 1.15; 95% CI, 1.05−1.26; I2=40.71%), depending on prior abstinence duration and the drug type. Conclusions: The results indicated that pharmacotherapy has a significant effect on preventing relapse among abstinent smokers.

Citations

Citations to this article as recorded by  
  • A Survey of the Clinical Practice of Korean Medicine for Smoking Cessation in Public Health Centers: A Web-Based Survey of Public Health Doctors of Korean Medicine
    Gyoungeun Park, Jeong-Hyun Moon, Eun-Jung Kim, Byung-Kwan Seo, Yong-Hyeon Baek, Won-Suk Sung
    Perspectives on Integrative Medicine.2024; 3(1): 45.     CrossRef
Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
Younglee Choi, Cheol Min Lee, Belong Cho, Eon Sook Lee, Seung-Won Oh, Naae Lee, Jae Moon Yun
Osong Public Health Res Perspect. 2021;12(3):177-186.   Published online June 2, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0018
  • 10,571 View
  • 178 Download
  • 2 Web of Science
  • 5 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
The aim of this study was to evaluate the effectiveness of behavioral smoking cessation interventions among adolescents.
Methods
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.
Results
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
This review showed that adolescent behavioral smoking cessation intervention programs significantly increased abstinence rates compared to the usual care.

Citations

Citations to this article as recorded by  
  • Effectiveness of Healthcare Interventions on Smoking Cessation in Adolescents in Low- and Middle-Income Countries: A Narrative Review
    Janhvi Thakur, Sonali G Choudhari
    Cureus.2024;[Epub]     CrossRef
  • Non-combustible nicotine product cessation interventions in adolescents and young adults: A systematic review
    Sofie K. Bergman Rasmussen, Charlotta Pisinger
    Tobacco Use Insights.2024;[Epub]     CrossRef
  • Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses
    Tao Nian, Kangle Guo, Wendi Liu, Xinxin Deng, Xiaoye Hu, Meng Xu, Fenfen E, Ziyi Wang, Guihang Song, Kehu Yang, Xiuxia Li, Wenru Shang
    BMC Medicine.2023;[Epub]     CrossRef
  • Behavioral Interventions for Smoking Cessation in Adolescents: Korea Preventive Services Task Force Guidance
    Younglee Choi, Cheol Min Lee, Jae Moon Yun, Eon Sook Lee, Seung-Won Oh, Naae Lee, Belong Cho
    Journal of the Korean Society for Research on Nico.2021; 12(1): 1.     CrossRef
  • Tobacco Control Policy in Period of Epidemic “COVID 19”
    Eon Sook Lee
    Journal of the Korean Society for Research on Nico.2021; 12(1): 34.     CrossRef

PHRP : Osong Public Health and Research Perspectives
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