Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force

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 pu...

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Autores principales: Naae Lee, Eon Sook Lee, Jae Moon Yun, Cheol Min Lee, Seung-Won Oh, Younglee Choi, Belong Cho
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Publicado: Korea Centers for Disease Control & Prevention 2021
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spelling oai:doaj.org-article:54842113bf0743bbb0f3725bb331cde22021-11-05T00:06:00ZBehavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force2210-90992210-911010.24171/j.phrp.2021.0017https://doaj.org/article/54842113bf0743bbb0f3725bb331cde22021-08-01T00:00:00Zhttp://ophrp.org/upload/pdf/j-phrp-2021-0017.pdfhttps://doaj.org/toc/2210-9099https://doaj.org/toc/2210-9110Objectives 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. Conclusion The results indicated that pharmacotherapy has a significant effect on preventing relapse among abstinent smokers.Naae LeeEon Sook LeeJae Moon YunCheol Min LeeSeung-Won OhYounglee ChoiBelong ChoKorea Centers for Disease Control & Preventionarticlebehavior therapydrug therapyrandomized controlled trialrapid reviewrelapse preventionsmoking cessationSpecial situations and conditionsRC952-1245Infectious and parasitic diseasesRC109-216ENOsong Public Health and Research Perspectives, Vol 12, Iss 4, Pp 244-253 (2021)
institution DOAJ
collection DOAJ
language EN
topic behavior therapy
drug therapy
randomized controlled trial
rapid review
relapse prevention
smoking cessation
Special situations and conditions
RC952-1245
Infectious and parasitic diseases
RC109-216
spellingShingle behavior therapy
drug therapy
randomized controlled trial
rapid review
relapse prevention
smoking cessation
Special situations and conditions
RC952-1245
Infectious and parasitic diseases
RC109-216
Naae Lee
Eon Sook Lee
Jae Moon Yun
Cheol Min Lee
Seung-Won Oh
Younglee Choi
Belong Cho
Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
description 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. Conclusion The results indicated that pharmacotherapy has a significant effect on preventing relapse among abstinent smokers.
format article
author Naae Lee
Eon Sook Lee
Jae Moon Yun
Cheol Min Lee
Seung-Won Oh
Younglee Choi
Belong Cho
author_facet Naae Lee
Eon Sook Lee
Jae Moon Yun
Cheol Min Lee
Seung-Won Oh
Younglee Choi
Belong Cho
author_sort Naae Lee
title Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
title_short Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
title_full Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
title_fullStr Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
title_full_unstemmed Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
title_sort behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the korea preventive service task force
publisher Korea Centers for Disease Control & Prevention
publishDate 2021
url https://doaj.org/article/54842113bf0743bbb0f3725bb331cde2
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