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
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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