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

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 contro...

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Autores principales: Younglee Choi, Cheol Min Lee, Belong Cho, Eon Sook Lee, Seung-Won Oh, Naae Lee, Jae Moon Yun
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Publicado: Korea Centers for Disease Control & Prevention 2021
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spelling oai:doaj.org-article:7f6985fa4ea34a018d9e8120041208a62021-11-05T00:03:10ZBehavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force2210-90992210-911010.24171/j.phrp.2021.0018https://doaj.org/article/7f6985fa4ea34a018d9e8120041208a62021-06-01T00:00:00Zhttp://ophrp.org/upload/pdf/j-phrp-2021-0018.pdfhttps://doaj.org/toc/2210-9099https://doaj.org/toc/2210-9110Objectives 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.Younglee ChoiCheol Min LeeBelong ChoEon Sook LeeSeung-Won OhNaae LeeJae Moon YunKorea Centers for Disease Control & Preventionarticleadolescentbehavior therapypractice guidelinesmoking cessationsystematic reviewSpecial situations and conditionsRC952-1245Infectious and parasitic diseasesRC109-216ENOsong Public Health and Research Perspectives, Vol 12, Iss 3, Pp 177-186 (2021)
institution DOAJ
collection DOAJ
language EN
topic adolescent
behavior therapy
practice guideline
smoking cessation
systematic review
Special situations and conditions
RC952-1245
Infectious and parasitic diseases
RC109-216
spellingShingle adolescent
behavior therapy
practice guideline
smoking cessation
systematic review
Special situations and conditions
RC952-1245
Infectious and parasitic diseases
RC109-216
Younglee Choi
Cheol Min Lee
Belong Cho
Eon Sook Lee
Seung-Won Oh
Naae Lee
Jae Moon Yun
Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
description 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.
format article
author Younglee Choi
Cheol Min Lee
Belong Cho
Eon Sook Lee
Seung-Won Oh
Naae Lee
Jae Moon Yun
author_facet Younglee Choi
Cheol Min Lee
Belong Cho
Eon Sook Lee
Seung-Won Oh
Naae Lee
Jae Moon Yun
author_sort Younglee Choi
title Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
title_short Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
title_full Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
title_fullStr Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
title_full_unstemmed Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
title_sort behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the korea preventive services task force
publisher Korea Centers for Disease Control & Prevention
publishDate 2021
url https://doaj.org/article/7f6985fa4ea34a018d9e8120041208a6
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