Osong Public Health and Research Perspectives

Original Articles

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

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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

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Abstract PDF Supplementary 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

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124 Download
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Abstract 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

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142 Download
11 Crossref

Abstract 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

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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

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19 Download
16 Crossref

Abstract 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.

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Andrea Cotait Ayoub, Márcio Gonçalves Sousa
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