Updates on Behavioural Interventions for Smoking Cessation: A Systematic Review of Systematic Reviews
DOI:
https://doi.org/10.31436/jop.v4i2.280Keywords:
Smoking cessation Tobacco abstinence Behavioral intervention Systematic review PRISMAAbstract
In Malaysia, tobacco smoking is considered to be one of the leading causes of early and preventable mortality. The ‘Clinical Practice Guidelines on Treatment of Tobacco Use Disorder 2016’ is utilised to provide safe and effective smoking cessation services for smokers to quit successfully. Since the launch of the 2016 CPG, there have been several new pieces of evidence regarding behavioural interventions for tobacco smoking cessation with various outcomes. Therefore, the guidelines are expected to be updated to assist healthcare providers in helping smokers quit smoking. This study aims to review the evidence from 2016 onwards for behavioural interventions in smoking cessation reported from published systematic reviews, and to update the CPG on tobacco use disorder by conducting a systematic review of systematic reviews methodology. The Cochrane Library, PubMed, and Scopus databases were used to conduct a comprehensive literature search. Two reviewers performed the screening and study selection, with disagreements resolved by consensus or the involvement of another reviewer. Quality assessment and data extraction are performed by one reviewer and checked by another. AMSTAR-2 tool was used to perform the risk of bias assessment. A narrative synthesis of the data extracted was provided. The searches resulted in a total of 276 articles and out of these, 23 systematic reviews were included. The included studies incorporated various smoking cessation interventions. Smokers of all ages and a small proportion of recent quitters are involved. They may be from the general or the special population. 14 reviews were rated as high quality, 2 were moderate, 4 were low and 3 were critically low by the AMSTAR-2 tool. The analysis found that counselling sessions, online interventions, self-help materials and motivational interviewing may increase cessation rates in the long term, if not, short term. Counselling sessions demonstrate the strongest evidence of benefit in smokers trying to quit. Findings that can be added to the updated CPG include app-based, incentives, feedback on spirometry results, exercise and behavioural interventions for people living with HIV and AIDS, COPD patients, and underprivileged older smokers.
References
Barnes, J., McRobbie, H., Dong, C. Y., Walker, N., & Hartmann-Boyce, J. (2019). Hypnotherapy for smoking cessation. The Cochrane Database of Systematic Reviews, 6(6), CD001008. https://doi.org/10.1002/14651858.CD001008.pub3
Barroso-Hurtado, M., Suárez-Castro, D., Martínez-Vispo, C., Becoña, E., & López-Durán, A. (2021). Smoking Cessation Apps: A Systematic Review of Format, Outcomes, and Features. International Journal of Environmental Research and Public Health, 18(21). https://doi.org/10.3390/ijerph182111664
CDC. (2020). Health effects - smoking and tobacco use. Centers for Disease Control and Prevention. https://www.cdc.gov/tobacco/basic_information/health_effects/index.htm
Chamberlain, C., Porter, J., Coleman, T., Sm, P., Thomas, J., Je, M., Chamberlain, C., Porter, J., Coleman, T., Sm, P., Thomas, J., & Je, M. (2017). Psychosocial interventions for supporting women to stop smoking in pregnancy ( Review ). https://doi.org/10.1002/14651858.CD001055.pub5.www.cochranelibrary.com
Cheung, K. L., De Ruijter, D., Hiligsmann, M., Elfeddali, I., Hoving, C., Evers, S. M. A. A., & De Vries, H. (2017). Exploring consensus on how to measure smoking cessation. A Delphi study. BMC Public Health, 17(1). https://doi.org/10.1186/S12889-017-4902-7
Cutler, D. M. (2004). Behavioral Health Interventions: What Works and Why. Critical Perspectives on Racial and Ethnic Differences in Health in Late Life, 643, 674. https://www.researchgate.net/publication/228378967
Do, H. P., Tran, B. X., Le Pham, Q., Nguyen, L. H., Tran, T. T., Latkin, C. A., Dunne, M. P., & Baker, P. R. (2018). Which eHealth interventions are most effective for smoking cessation? A systematic review. Patient Preference and Adherence, 12, 2065–2084. https://doi.org/10.2147/PPA.S169397
Fanshawe, T. R., Hartmann-Boyce, J., Perera, R., & Lindson, N. (2019). Competitions for smoking cessation. Cochrane Database of Systematic Reviews, 2019(2). https://doi.org/10.1002/14651858.CD013272
Hartmann-Boyce, J., Lancaster, T., & Stead, L. F. (2014). Print-based self-help interventions for smoking cessation. The Cochrane Database of Systematic Reviews, 2017(6). https://doi.org/10.1002/14651858.CD001118.PUB3
Hawes, M. R., Roth, K. B., & Cabassa, L. J. (2021). Systematic Review of Psychosocial Smoking Cessation Interventions for People with Serious Mental Illness. Journal of Dual Diagnosis, 17(3), 216. https://doi.org/10.1080/15504263.2021.1944712
Jackson, S., Brown, J., Norris, E., Livingstone-Banks, J., Hayes, E., & Lindson, N. (2022). Mindfulness for smoking cessation. The Cochrane Database of Systematic Reviews, 4(4), CD013696. https://doi.org/10.1002/14651858.CD013696.pub2
Lancaster, T., & Stead, L. F. (2017). Individual behavioural counselling for smoking cessation. Cochrane Database of Systematic Reviews, 2017(3). https://doi.org/10.1002/14651858.CD001292.PUB3
Lindson, N., Thompson, T. P., Ferrey, A., Lambert, J. D., & Aveyard, P. (2019). Motivational interviewing for smoking cessation. Cochrane Database of Systematic Reviews, 2019(7). https://doi.org/10.1002/14651858.CD006936.pub4
Matkin, W., Ordóñez-Mena, J. M., & Hartmann-Boyce, J. (2019). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 2019(5). https://doi.org/10.1002/14651858.CD002850.pub4
Ministry of Health (MOH) Malaysia. (2016). Clinical Practice Guidelines on Treatment of Tobacco Use Disorder. http://www.moh.gov.my
Notley, C., Gentry, S., Livingstone-Banks, J., Bauld, L., Perera, R., & Hartmann-Boyce, J. (2019). Incentives for smoking cessation. Cochrane Database of Systematic Reviews, 2019(7). https://doi.org/10.1002/14651858.CD004307.pub6
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372. https://doi.org/10.1136/BMJ.N71
Pool, E. R., Dogar, O., Lindsay, R. P., Weatherburn, P., & Siddiqi, K. (2016). Interventions for tobacco use cessation in people living with HIV and AIDS. The Cochrane Database of Systematic Reviews, 2016(6). https://doi.org/10.1002/14651858.CD011120.PUB2
Smith, P., Poole, R., Mann, M., Nelson, A., Moore, G., & Brain, K. (2019). Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds. BMJ Open, 9(11), e032727. https://doi.org/10.1136/bmjopen-2019-032727
Smith, V., Devane, D., Begley, C. M., & Clarke, M. (2011). Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Medical Research Methodology, 11(1), 1–6. https://doi.org/10.1186/1471-2288-11-15/TABLES/2
Spanakis, P., Peckham, E., Young, B., Heron, P., Bailey, D., & Gilbody, S. (2022). A systematic review of behavioural smoking cessation interventions for people with severe mental ill health-what works? Addiction (Abingdon, England), 117(6), 1526–1542. https://doi.org/10.1111/add.15724
Stead, L. F., Carroll, A. J., & Lancaster, T. (2017). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews, 2017(3). https://doi.org/10.1002/14651858.CD001007.pub3
Tawfik, G. M., Dila, K. A. S., Mohamed, M. Y. F., Tam, D. N. H., Kien, N. D., Ahmed, A. M., & Huy, N. T. (2019). A step by step guide for conducting a systematic review and meta-analysis with simulation data. Tropical Medicine and Health, 47(1), 1–9. https://doi.org/10.1186/S41182-019-0165-6/FIGURES/4
Taylor, G. M. J., Dalili, M. N., Semwal, M., Civljak, M., Sheikh, A., & Car, J. (2017). Internet-based interventions for smoking cessation. The Cochrane Database of Systematic Reviews, 9(9). https://doi.org/10.1002/14651858.CD007078.PUB5
Thurgood, S. L., McNeill, A., Clark-Carter, D., & Brose, L. S. (2016). A systematic review of smoking cessation interventions for adults in substance abuse treatment or recovery. Nicotine and Tobacco Research, 18(5), 993–1001. https://doi.org/10.1093/ntr/ntv127
Tzelepis, F., Paul, C. L., Williams, C. M., Gilligan, C., Regan, T., Daly, J., Hodder, R. K., Byrnes, E., Byaruhanga, J., McFadyen, T., & Wiggers, J. (2019). Real-time video counselling for smoking cessation. Cochrane Database of Systematic Reviews, 2019(10). https://doi.org/10.1002/14651858.CD012659.pub2
Ussher, M. H., Faulkner, G. E. J., Angus, K., Hartmann-Boyce, J., & Taylor, A. H. (2019a). Exercise interventions for smoking cessation. Cochrane Database of Systematic Reviews, 2019(10). https://doi.org/10.1002/14651858.CD002295.pub6
van Eerd, E. A. M., van der Meer, R. M., van Schayck, O. C. P., & Kotz, D. (2016). Smoking cessation for people with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2016(8). https://doi.org/10.1002/14651858.CD010744.pub2
Westerdahl, E., Engman, K. O., Arne, M., & Larsson, M. (2019a). Spirometry to increase smoking cessation rate: A systematic review. Tobacco Induced Diseases, 17, 31. https://doi.org/10.18332/tid/106090
Whittaker, R., McRobbie, H., Bullen, C., Rodgers, A., Gu, Y., & Dobson, R. (2019). Mobile phone text messaging and app-based interventions for smoking cessation. The Cochrane Database of Systematic Reviews, 10(10). https://doi.org/10.1002/14651858.CD006611.PUB5
World Health Organization (WHO). (2022). Tobacco. https://www.who.int/news-room/fact-sheets/detail/tobacco
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 IIUM Press
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal of Pharmacy at https://journals.iium.edu.my/ktn/index.php/jp is licensed under a Creative Commons Attribution 4.0 International License.