E ective behavioral interventions for smoking cessation in the primary care setting: A meta-analysis
รหัสดีโอไอ
Creator Kamollabhu Thanomsat
Title E ective behavioral interventions for smoking cessation in the primary care setting: A meta-analysis
Contributor Jintana Yunibhand
Publisher Nakhon Pathom Rajabhat University
Publication Year 2562
Journal Title Interdisciplinary Research Review
Journal Vol. 14
Journal No. 6
Page no. 1
Keyword Smoking cessation, intervention, smokers, primary care setting
URL Website http://dept.npru.ac.th
Website title สถาบันวิจัยและพัฒนา มหาวิทยาลัยราชภัฏนครปฐม
ISSN 2697-522X
Abstract There are a number of smoking cessation strategies o ered by healthcare providers in Thailand. Despite this, the number ofThai smokers have stopped smoking permanently as a result of the strategies is still far less than the expectation of the NationalStrategic Plan for Tobacco Control. It feels that this is a reflection of the fact that there are a lot of delicate issues around useof the tobacco cessation service system. This research aimed to investigate the e ectiveness of strategies for smoking cessationintervention among smokers in the primary care setting on point prevalence abstinence (PPA) basis. English and Thai languagearticles from 1993 to 2018 available from six databases were used as data sources. Two independent reviewers assessedarticles against the following eligibility criteria: experimental study, adult smokers 18 years of age, studies comparing thee ectiveness of a smoking cessation intervention with no treatment or wait-list control, or usual care. Study quality wascritically appraised by two reviewers using established criteria; Review Manager 5.1 was used for meta-analyses. Of the 77eligible studies that were found, 15 had complete data for meta-analysis on PPA and/or wait-list control, or usual care. Themeta-analyses indicated that smoking cessation counseling using quitline telephone counseling was the most e ective strategyfor smoking cessation on PPA when compared with no treatment or usual care. Conversely, other interventions resulted innonsignificant di erences between the experimental and control groups. In summary telephone counseling was found to bethe most appropriate approach for facilitating smoking cessation in adult smokers in the primary healthcare setting. Furtherresearch is needed to compare the optimal course length, intensity, and long-term e ectiveness for helping smokers quit in theprimary healthcare setting.
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