Effectiveness of complex psycho-educational interventions for smoking relapse prevention: an exploratory meta-analysis

Journal of Public Health
F SongRichard Holland

Abstract

Existing systematic reviews have concluded that psycho-educational interventions for smoking relapse prevention were ineffective. Our objective was to conduct an exploratory meta-analysis, guided by mechanisms of these complex interventions for preventing smoking relapse. Relevant trials were identified from a Cochrane review and by an updated search of MEDLINE and PsycINFO (up to August 2009). We examined theories or mechanisms underlying relapse prevention interventions, and process variables reported in trials. Odds ratios (ORs) for the rate of smoking abstinence at the longest follow-up were pooled in meta-analysis. Forty-nine trials were included, and interventions were at least partly based on the cognitive-behavioural approach to coping skills training in 41 trials. Only a few trials reported data on process variables. Coping skills training for smoking relapse prevention was effective for community quitters (OR 1.27, 95% CI: 1.08-1.49), and particularly for those who stopped smoking for at least 1 week at baseline (OR 1.52, 95% CI: 1.20-1.93). These findings were interpretable with mechanisms of coping skills training for relapse prevention. On the basis of post hoc subgroup analyses, coping skills training for smoking ...Continue Reading

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Citations

Mar 5, 2016·Orthopedics·Brandon B CarlsonStephanie Robinson
Sep 12, 2015·Addiction·Caitlin NotleyRichard Holland
Aug 22, 2013·The Cochrane Database of Systematic Reviews·Peter HajekTim Lancaster
Feb 14, 2019·The Cochrane Database of Systematic Reviews·Jonathan Livingstone-BanksPeter Hajek
Nov 7, 2019·The Cochrane Database of Systematic Reviews·Jonathan Livingstone-BanksPeter Hajek
Mar 6, 2013·Cognitive Therapy and Research·Stefan G HofmannAngela Fang
Sep 1, 2012·Personalized Medicine·Daiva E Nielsen, Ahmed El-Sohemy
Oct 31, 2019·Health Psychology Review·Emily A HennessyJania Stewart-James
Jun 12, 2021·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·E BeardL Shahab

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