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Original Article

Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force

Osong Public Health and Research Perspectives 2021;12(3):177-186.
Published online: June 2, 2021

1Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea

2Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea

3Department of Family Medicine, Seoul National University Hospital, Seoul, Korea

4Department of Family Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea

5Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea

Corresponding author: Jae Moon Yun Department of Family Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea E-mail: jaemoon2@gmail.com
Younglee Choi and Cheol Min Lee contributed equally as co-first authors.
• Received: January 21, 2021   • Revised: March 19, 2021   • Accepted: March 28, 2021

© 2021 Korea Disease Control and Prevention Agency

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Citations

Citations to this article as recorded by  Crossref logo
  • Effectiveness of non-pharmacological school-based therapies for cigarette smoking cessation among adolescents in South and Southeast Asian countries: a systematic review and meta-analysis
    Fahad Ali Mangrio, Penpaktr Uthis, Suwimon Rojnawee, Alicia K Matthews
    Osong Public Health and Research Perspectives.2025; 16(3): 195.     CrossRef
  • 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

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Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
Osong Public Health Res Perspect. 2021;12(3):177-186.   Published online June 2, 2021
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Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
Image Image Image
Figure 1. Flowchart of the selection of studies included in the meta-analysis. CENTRAL, Cochrane Central Register of Controlled Trial; CINAHL, Cumulative Index to Nursing and Allied Health Literature; RCTs, randomized controlled trials; SR, systematic review.
Figure 2. Summary of meta-analysis findings for the primary outcome (at 6 months of follow-up). CI, confidence interval; I2, Higgins I2 test statistic.
Figure 3. Summary of meta-analysis findings for the secondary outcome (at 4 weeks of follow-up); CI, confidence interval; I2, Higgins I2 test statistic.
Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
Subgroup Population (RCT) Relative risk (95% CI) I2 (%) (heterogeneity) Subgroup difference (p-value)
Overall effect 11,637 (32) 1.30 (1.20-1.41) 26.46 -
Study country 0.53
 North America 8,367 (21) 1.28 (1.17-1.41) 31.55
 Europe and others 3,270 (11) 1.36 (1.16-1.60) 26.46
Program location 1 0.38
 School 7,658 (21) 1.27 (1.15-1.40) 26.68
 Others 3,979 (11) 1.37 (1.19-1.57) 26.03
Program location 2 0.03
 Including a medical institution 935 (6) 1.78 (1.33-2.40) 0
 Non-medical institution 10,702 (26) 1.27 (1.16-1.38) 27.23
Theoretical basis 0.53
 Stages of change model 3,283 (6) 1.31 (1.09-1.57) 0
 Motivational interviewing 1,511 (9) 1.11 (0.88-1.40) 9.56
 Social cognitive theory 4,006 (9) 1.32 (1.12-1.54) 33.97
 Complex theoretical model 2,837 (8) 1.35 (1.20-1.53) 51.72
Program intensity 0.09
 Low 2,300 (6) 1.50 (1.17-1.92) 15.53
 Middle 7,284 (16) 1.25 (1.14-1.38) 21.78
 High 2,053 (10) 1.39 (1.13-1.71) 40.02
Counseling type 0.82
 Private 1,997 (6) 1.21 (0.95-1.54) 42.34
 Group 7,730 (17) 1.32 (1.08-1.63) 28.03
 Other 1,910 (9) 1.31 (1.20-1.44) 27.07
Program simplicity or complexity 0.49
 Simple program 8,736 (23) 1.32 (1.20-1.46) 29.79
 Complex program 2,901 (9) 1.25 (1.08-1.44) 18.09
Smoking status assessment method 0.15
 Biochemical method 4,834 (15) 1.19 (1.03-1.38) 34.42
 Self-report 6,643 (17) 1.36 (1.23-1.49) 16.34
Face-to-face or non-face-to-face 0.27
 Face-to-face 5,170 (18) 1.31 (1.13-1.53) 30.68
 Face-to-face and non-face-to-face 2,140 (6) 1.46 (1.22-1.74) 40.16
 Non-face-to-face 4,327 (8) 1.23 (1.10-1.38) 5.2
Period between intervention completion and follow-up 1 0.03
 Less than 1 mo 1,161 (7) 1.75 (1.32-2.31) 36.61
 More than 1 mo 10,476 (25) 1.26 (1.16-1.37) 16.56
Period between intervention completion and follow-up 2 0.90
 Less than 2 mo 2,356 (9) 1.31 (1.15-1.50) 44.01
 More than 2 mo 9,284 (23) 1.30 (1.17-1.43) 21.17
Table 1. Results of the subgroup analysis

CI, confidence interval; I2, the Higgins I2 test statistic; RCT, randomized controlled trial.