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Behavioral therapy and pharmacotherapy for relapse prevention in abstinent smokers: a rapid review and meta-analysis for the Korea Preventive Service Task Force
Naae Lee, Eon Sook Lee, Jae Moon Yun, Cheol Min Lee, Seung-Won Oh, Younglee Choi, Belong Cho
Osong Public Health Res Perspect. 2021;12(4):244-253.   Published online July 6, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0017
  • 5,868 View
  • 93 Download
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
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. Conclusions: The results indicated that pharmacotherapy has a significant effect on preventing relapse among abstinent smokers.

Citations

Citations to this article as recorded by  
  • A Survey of the Clinical Practice of Korean Medicine for Smoking Cessation in Public Health Centers: A Web-Based Survey of Public Health Doctors of Korean Medicine
    Gyoungeun Park, Jeong-Hyun Moon, Eun-Jung Kim, Byung-Kwan Seo, Yong-Hyeon Baek, Won-Suk Sung
    Perspectives on Integrative Medicine.2024; 3(1): 45.     CrossRef
Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
Younglee Choi, Cheol Min Lee, Belong Cho, Eon Sook Lee, Seung-Won Oh, Naae Lee, Jae Moon Yun
Osong Public Health Res Perspect. 2021;12(3):177-186.   Published online June 2, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0018
  • 9,293 View
  • 161 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDFSupplementary Material
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  
  • 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-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
Factors Affecting Smoking Cessation Success of Heavy Smokers Registered in the Intensive Care Smoking Cessation Camp (Data from the National Tobacco Control Center)
Hansol Yeom, Hee-Sook Lim, Jihyun Min, Seoni Lee, Yoon-Hyung Park
Osong Public Health Res Perspect. 2018;9(5):240-247.   Published online October 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.5.05
  • 8,812 View
  • 124 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to investigate the factors involved in the success of smoking cessation in heavy smokers enrolled in an intensive care smoking cessation camp program.

Methods

Heavy smokers enrolled in the program were classified into a success (n = 69) or failure (n = 29) group, according to whether they maintained smoking cessation for 6 months after the end of the program. Demographics, smoking behaviors, and smoking cessation-related characteristics were analyzed.

Results

Statistically significantly more participants in the success group had a spouse (98.6%; p = 0.008) compared with participants in the failure group (82.8%). However, multivariate logistic regression analysis indicated that having a spouse was not an independent factor in smoking cessation (p = 0.349). A significant difference in the frequency of counseling between the success and failure groups was observed (p = 0.001), with 72.5% of those who received counseling on 3–5 occasions for 6 months after the end of program successfully quit smoking, indicating that those who received more counseling had a higher likelihood of smoking cessation success. This was confirmed as an independent factor by multivariate logistic regression (p < 0.005). Furthermore, a graduate school level of education or higher, indicated a statistically greater success rate compared to those that were less well educated (p = 0.043). This was also observed as a significant independent factor using multivariate logistic regression (p = 0.046).

Conclusion

Education level, marital status, and the number of counseling sessions were significant factors contributing to smoking cessation success.

Citations

Citations to this article as recorded by  
  • Evaluation of Smoking Cessation Intervention Effectiveness in Smoking Cessation Clinics — China, 2019–2021
    Li Xie, Yongfu Yan, Yan Yang, Yi Nan, Lin Xiao
    China CDC Weekly.2023; 5(21): 469.     CrossRef
  • Factors Associated with Smokers Attending More Than One Smoking Cessation Clinic Visit
    Oh Beom Kwon, Chihoon Jung, Auk Kim, Gihwan Byeon, Seung-Joon Lee, Woo Jin Kim
    Journal of Clinical Medicine.2023; 12(23): 7222.     CrossRef
  • Effects of a supportive workplace environment on the success rate for smoking cessation camp
    Woojin Kim, A Ram Kim, Minsu Ock, Young-Jee Jeon, Heun Lee, Daehwan Kim, Minjun Kim, Cheolin Yoo
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
  • Sigara Bırakma Polikliniğine Başvuran Bireylerde Tedavi Başarısını Etkileyen Faktörler
    Derya KOCAKAYA, Hatice ŞENOL, Sezer ASLAN, Ahmed Mahmud ÇIRAKOĞLU, Merve ÇAKIR, Hatice TELCİ, Mehmet ÇETİNKAYA, Sehnaz OLGUN, Ayşe Nilüfer ÖZAYDIN, Ceyhan BERRİN
    Bağımlılık Dergisi.2022; 23(1): 69.     CrossRef
  • Smoking cessation rates in elderly and nonelderly smokers after participating in an intensive care smoking cessation camp
    Jae-Kyeong Lee, Yu-Il Kim, Sun-Seog Kweon, In-Jae Oh, Yong-Soo Kwon, Hong-Joon Shin, Yu-Ri Choe, Ha-Young Park, Young-Ok Na, Hwa-Kyung Park
    Medicine.2022; 101(30): e29886.     CrossRef
  • Patterns and predictors of smoking relapse among inpatient smoking intervention participants: a 1-year follow-up study in Korea
    Seung Eun Lee, Chul-Woung Kim, Hyo-Bin Im, Myungwha Jang
    Epidemiology and Health.2021; 43: e2021043.     CrossRef
  • Factors affecting smoking initiation and cessation among adult smokers in Fiji: A qualitative study
    Masoud Mohammadnezhad, Mondha Kengganpanich
    Tobacco Induced Diseases.2021; 19(December): 1.     CrossRef
  • “STOP the PUFF! Tayo’y mag bagong BAGA, SIGARILYO ay ITIGIL”: A Pilot Community-based Tobacco Intervention Project in an Urban Settlement
    Irene Salve D Joson-Vergara, Julie T Li-Yu
    Journal of Medicine, University of Santo Tomas.2021; 5(1): 586.     CrossRef
  • Smoking cessation correlates with a decrease in infection rates following total joint arthroplasty
    Christina Herrero, Alex Tang, Amy Wasterlain, Scott Sherman, Joseph Bosco, Claudette Lajam, Ran Schwarzkopf, James Slover
    Journal of Orthopaedics.2020; 21: 390.     CrossRef
Effects of Smoking Cessation Intervention Education Program Based on Blended Learning among Nursing Students in South Korea
Sook-Hee Choi, Yun-Hee Kim
Osong Public Health Res Perspect. 2018;9(4):185-191.   Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.07
  • 7,439 View
  • 142 Download
  • 11 Crossref
AbstractAbstract PDF
Objectives

This study was conducted to evaluate whether a “smoking cessation intervention” education program based on blended learning, was effective in improving nursing students’ perceived competence and motivation to perform a smoking cessation intervention for smokers.

Methods

A quasi-experimental, pretest–posttest design was conducted. The smoking cessation intervention education program based on blended learning, was administered to the experimental group (n = 23) in 5 sessions, consisting of 2 courses of an e-learning program and 1 course of a face-to-face learning program per session. The control group (n = 21) received the opportunity to participate in an e-learning program as well as receiving material of a face-to-face learning program, after completion of the smoking cessation intervention education program.

Results

The experimental group showed significant differences in autonomous motivation (t = −6.982, p < 0.001), controlled motivation (t = −3.729, p = 0.001), and perceived competence compared to the control group (t = −3.801, p < 0.001).

Conclusion

This study showed that a smoking cessation intervention education program adopting blended learning, was significantly effective in enhancing nursing students’ autonomous motivation and perceived competence to conduct a smoking cessation intervention. Further studies are needed to confirm longitudinal effects of this program.

Citations

Citations to this article as recorded by  
  • The learning outcomes of smoking cessation training in undergraduate nursing students: A systematic review
    Guowen Zhang, Jie Zhou, Tzu Tsun Luk, Veronica Suk Fun Lam, Zhuangyan Yao, Man Ping Wang, Yee Tak Derek Cheung
    Nurse Education in Practice.2024; 75: 103907.     CrossRef
  • Effectiveness of digital tools for smoking cessation in Asian countries: a systematic review
    Khang Wen Goh, Long Chiau Ming, Yaser Mohammed Al-Worafi, Ching Siang Tan, Andi Hermansyah, Inayat Ur Rehman, Zahid Ali
    Annals of Medicine.2024;[Epub]     CrossRef
  • The effectiveness of a motivational text-messaging program for smoking cessation after coronary angioplasty: a quasi-experimental study
    Mohammad Sadegh Mobaraki, Zahra Khademian, Fatemeh Shirazi
    BMC Research Notes.2023;[Epub]     CrossRef
  • Investigation of Postgraduate Theses on Using of Web-Based Education in Nursing Education
    Hüsne YÜCESOY, Nülüfer ERBİL
    Middle Black Sea Journal of Health Science.2023; 9(3): 403.     CrossRef
  • Efficacy of a blended learning programme in enhancing the communication skill competence and self-efficacy of nursing students in conducting clinical handovers: a randomised controlled trial
    Jessie Yuk Seng Chung, William Ho Cheung Li, Ankie Tan Cheung, Laurie Long Kwan Ho, Joyce Oi Kwan Chung
    BMC Medical Education.2022;[Epub]     CrossRef
  • Effect of flipped learning-based smoking cessation intervention education program for nursing students in South Korea
    Yein Lee, Yunhee Kim
    The Journal of Korean Academic Society of Nursing .2022; 28(2): 147.     CrossRef
  • Effectiveness of Diabetes Nursing Course Designed With Hybrid Learning Pedagogy: A Pilot Study
    Gülten OKUROĞLU, Şule ALPAR ECEVİT
    Clinical and Experimental Health Sciences.2022; 12(2): 507.     CrossRef
  • Covid-19 ile Hemşirelik Eğitiminde Yeni Bir Yaklaşım: Harmanlanmış Öğrenme
    Elif KOCAAĞALAR AKİNCE, Duygu Ceren GÜNGÖR, Nilay ÖZKÜTÜK, Fatma ORGUN
    Uluslararası Sosyal Bilimler Akademi Dergisi.2022; 4(10): 975.     CrossRef
  • Impact of tobacco cessation education on behaviors of nursing undergraduates in helping smoker to quit smoking
    Li Zhang, Xian Huang, Tao Luo, Li Jiang, Mei Jiang, Han Chen
    Tobacco Induced Diseases.2021; 19(July): 1.     CrossRef
  • Blended learning in undergraduate nursing education – A scoping review
    Don M. Leidl, Lauren Ritchie, Neda Moslemi
    Nurse Education Today.2020; 86: 104318.     CrossRef
  • Comparing student achievement in traditional learning with a combination of blended and flipped learning
    Suhaila Halasa, Nimer Abusalim, Mohammad Rayyan, Rose E. Constantino, Omayah Nassar, Huda Amre, Moayad Sharab, Insirah Qadri
    Nursing Open.2020; 7(4): 1129.     CrossRef
Factors Affecting Korean Registered Nurses' Intention to Implement Smoking Cessation Intervention
Sook-Hee Choi, Yun-Hee Kim
Osong Public Health Res Perspect. 2016;7(1):63-70.   Published online February 28, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.11.008
  • 2,876 View
  • 19 Download
  • 16 Crossref
AbstractAbstract PDF
Objectives
Nurses have been identified as an instrumental partner in tobacco reduction. This study aimed to examine factors affecting Korean nurses' intention to implement smoking cessation intervention in Busan, Korea.
Methods
The participants were a total of 215 Korean registered nurses. A self-administered questionnaire evaluated predisposing factors, motivational factors (attitude, social influence, and self-efficacy) and intention to implement smoking cessation intervention. Data were analyzed by t tests, Pearson's correlation, and hierarchical multiple regression.
Results
The mean age of the participants was 28.12 ± 5.72 years. The majority of the participants were staff nurses (85.6%), and 64.2% of the sample had < 5 years of work experience. Significant predictors of intention to implement smoking cessation intervention included perceived barrier of smoking cessation intervention (β = −0.128, p = 0.023), willingness to receive smoking cessation training (β = 0.123, p = 0.034), more positive attitude (β = 0.203, p = 0.002), higher social influence (β = 0.292, p < 0.001), and higher self-efficacy toward smoking cessation intervention (β = 0.151, p = 0.021), which explained 45% of the total variance of intention to implement smoking cessation intervention.
Conclusion
Attitude, social influence, and self-efficacy towards smoking cessation intervention had a significant positive influence in determining the intention to implement smoking cessation intervention. These findings can be used to develop evidence-based smoking cessation training programs for nurses in Korea. The programs should aim for positive attitude, higher social influence, and higher self-efficacy in hospital settings.

Citations

Citations to this article as recorded by  
  • Nursing Staff Attitude, Subjective Norms, Perceived Behavior Control, and Intention to Provide Tobacco Treatment in a Psychiatric Hospital
    Bassema Abufarsakh, Chizimuzo T.C. Okoli
    Journal of the American Psychiatric Nurses Associa.2024; 30(1): 30.     CrossRef
  • Dialysis nurses’ knowledge, attitude, practices, and self-efficacy regarding vascular access care: A multicenter cross-sectional survey in Singapore
    Lingyan Meng, Pauline Tan, Behram Ali Khan, Jun Liao, Lillian Lou, Shune Chen, Boon Wee Teo, Wei Guo, Pei Ho
    The Journal of Vascular Access.2024;[Epub]     CrossRef
  • Attitudes, perceptions, self‐efficacy and knowledge levels of Israeli nurses in relation to opioid misuse: A cross‐sectional survey
    Lika Nusbaum, Miriyam Farkash
    Journal of Nursing Scholarship.2022; 54(2): 242.     CrossRef
  • How Self-Efficacy toward, Perceived Importance of, and Beliefs about Smoking Cessation Support Impact-Related Behaviors in Japanese Nursing Professionals
    Izumi Sezai, Chie Taniguchi, Ituro Yoshimi, Tomoyasu Hirano, Fumihiko Wakao
    International Journal of Environmental Research an.2022; 19(4): 2304.     CrossRef
  • Factors Associated with Nursing Interventions for Smoking Cessation: A Narrative Review
    Meng Li, Keiko Koide, Miho Tanaka, Misaki Kiya, Reiko Okamoto
    Nursing Reports.2021; 11(1): 64.     CrossRef
  • YENİDOĞAN YOĞUN BAKIM HEMŞİRELERİNİN SİGARA KULLANIMI, NİKOTİN BAĞIMLILIK DÜZEYLERİ VE ETKİLEYEN FAKTÖRLERİN İNCELENMESİ
    Semra BÜLBÜLOĞLU, Rüya ÇOLAK
    İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek.2020; 8(2): 271.     CrossRef
  • Sustainability of high flow in a Peruvian PICU: A qualitative analysis
    Jiayu Wang, Elizabeth Jacob‐Files, Rosario Becerra, Gabriela Mallma, José Tantaleán da Fieno, Katie R. Nielsen
    International Nursing Review.2020; 67(3): 352.     CrossRef
  • Occupational health professionals’ attitudes, knowledge, and motivation concerning smoking cessation—Cross-sectional survey
    Maarit Malin, Nina Jaakkola, Ritva Luukkonen, Antero Heloma, Anne Lamminpää, Kari Reijula
    Journal of Occupational Health.2020;[Epub]     CrossRef
  • Factors Associated with Prenatal Smoking Cessation Interventions among Public Health Nurses in Japan
    Meng Li, Reiko Okamoto, Aoki Tada, Misaki Kiya
    International Journal of Environmental Research an.2020; 17(17): 6135.     CrossRef
  • Exploring individual and contextual factors contributing to tobacco cessation intervention implementation
    Ana Andrés, Yolanda Castellano, Marcela Fu, Ariadna Feliu, Montse Ballbè, Laura Antón, Antoni Baena, Esteve Fernández, Cristina Martínez
    Addictive Behaviors.2019; 88: 163.     CrossRef
  • Impact of an Online Training Program in Smoking Cessation Interventions in Hospitals
    Cristina Martínez, Yolanda Castellano, Ana Andrés, Marcela Fu, Ariadna Feliu, Laura Antón, Montse Ballbè, Paz Fernández, Sandra Cabrera, Ana Riccobene, Eva Gavilan, Antoni Baena, Mercè Margalef, Olena Tigova, Núria Quirós, Olga Guillen, Assumpta Company,
    Journal of Nursing Scholarship.2019; 51(4): 449.     CrossRef
  • Prevalence of smoking in nursing professionals of a cardiovascular hospital
    Andrea Cotait Ayoub, Márcio Gonçalves Sousa
    Revista Brasileira de Enfermagem.2019; 72( suppl 1): 173.     CrossRef
  • Development and Validation of an Evaluation Tool to Measure the Effectiveness of a Smoking Cessation Training among Healthcare Providers in Malaysia: The Providers’ Smoking Cessation Training Evaluation (ProSCiTE)
    Siti Idayu Hasan, Farizah Mohd Hairi, Amer Siddiq Amer Nordin, Mahmoud Danaee
    International Journal of Environmental Research an.2019; 16(21): 4297.     CrossRef
  • Attitudes, barriers and facilitators to smoking cessation among Central and Eastern European nurses: A focus group study
    Mary Rezk-Hanna, Linda Sarna, Anne Berit Petersen, Marjorie Wells, Iveta Nohavova, Stella Bialous
    European Journal of Oncology Nursing.2018; 35: 39.     CrossRef
  • Impact of an online training program in hospital workers’ smoking cessation interventions in Bolivia, Guatemala and Paraguay
    Cristina Martínez, Yolanda Castellano, Assumpta Company, Olga Guillen, Mercè Margalef, Martha Alicia Arrien, Claudia Sánchez, Paula Cáceres, Joaquín Barnoya, Esteve Fernández
    Gaceta Sanitaria.2018; 32(3): 236.     CrossRef
  • Factors associated with implementation of the 5A’s smoking cessation model
    C. Martínez, Y. Castellano, A. Andrés, M. Fu, L. Antón, M. Ballbè, P. Fernández, S. Cabrera, A. Riccobene, E. Gavilan, A. Feliu, A. Baena, M. Margalef, E. Fernández
    Tobacco Induced Diseases.2017;[Epub]     CrossRef

PHRP : Osong Public Health and Research Perspectives