Introduction
Smoking is a risk factor for most chronic diseases and premature death, with a global
prevalence of more than 1 billion people who smoke. This network meta-analysis aimed
to investigate the impact of different behavioral interventions on smoking cessation.
Methods
Four electronic databases were searched for RCTs from inception to August 29, 2022.
The risk of bias for the included RCTs was evaluated using the revised version of
Cochrane tool for assessing risk of bias and the certainty of evidence using the Grading
of Recommendations, Assessment, Development, and Evaluation approach. The network
meta-analysis was performed using Stata 16SE and R 4.1.3 software.
Results
A total of 119 included RCTs enrolled 118,935 participants. For the 7-day-point prevalence
abstinence rate, video counseling had a best intervention effect than brief advice,
followed by financial incentives, self-help materials plus telephone counseling, motivational
interview, health education, telephone counseling, and text messages. For the 30-day-point
prevalence abstinence rate, face-to-face cognitive education and financial incentives
were superior to brief advice. For the continuous abstinence rate, motivational interview
and financial incentives were more effective than brief advice. The certainty of evidence
was very low to moderate for these studies.
Discussion
From the results of the network meta-analysis, different behavioral interventions
resulted in positive impacts on smoking cessation compared with that of brief advice,
especially video counseling, face-to-face cognitive education, and motivational interviews.
Owing to the poor quality of evidence, high-quality trials should be conducted in
the future to provide more robust evidence.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Preventive MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019.Lancet. 2021; 397: 2337-2360https://doi.org/10.1016/S0140-6736(21)01169-7
- A systematic review and meta-analysis of prospective studies on the association between maternal cigarette smoking and preterm delivery.Am J Obstet Gynecol. 2000; 182: 465-472https://doi.org/10.1016/S0002-9378(00)70240-7
- Smoking bans prevent heart attacks.Circulation. 2006; 114: 1450-1451https://doi.org/10.1161/CIRCULATIONAHA.106.649103
- Passive smoking and lung cancer: a cumulative meta-analysis.Aust N Z J Public Health. 2001; 25: 203-211https://doi.org/10.1111/j.1467-842x.2001.tb00564.x
- Effect of cytisine vs varenicline on smoking cessation: a randomized clinical trial.JAMA. 2021; 326: 56-64https://doi.org/10.1001/jama.2021.7621
- Tobacco: preventing uptake, promoting quitting and treating dependence.National Institute for Health and Care Excellence, 2021 (Published) (Accessed October 8, 2022)
- A time of change: behavioral and neural correlates of adolescent sensitivity to appetitive and aversive environmental cues.Brain Cogn. 2010; 72: 124-133https://doi.org/10.1016/j.bandc.2009.07.003
- Neural systems underlying motivated behavior in adolescence: implications for preventive medicine.Prev Med. 2012; 55 (suppl): S7-S16https://doi.org/10.1016/j.ypmed.2011.11.016
- An exploratory randomized controlled trial of a novel high-school-based smoking cessation intervention for adolescent smokers using abstinence-contingent incentives and cognitive behavioral therapy.Drug Alcohol Depend. 2013; 132: 346-351https://doi.org/10.1016/j.drugalcdep.2013.03.002
- Telephone counselling for smoking cessation.Cochrane Database Syst Rev. 2019; 5CD002850https://doi.org/10.1002/14651858.CD002850.pub4
- Evidence Based Social Science in China Paper 3: the quality of social science RCTs published from 2000–2020.J Clin Epidemiol. 2022; 141: 64-73https://doi.org/10.1016/j.jclinepi.2021.09.014
- Individual behavioural counselling for smoking cessation.Cochrane Database Syst Rev. 2018; Cd001292https://doi.org/10.1002/14651858.CD001292.pub3
- Network meta-analysis.The Stata Journal. 2015; 15: 951-985https://doi.org/10.1177/1536867X1501500403
- Network meta-analysis: an introduction for clinicians.Intern Emerg Med. 2017; 12: 103-111https://doi.org/10.1007/s11739-016-1583-7
- Reporting and methodological quality of COVID-19 systematic reviews needs to be improved: an evidence mapping.J Clin Epidemiol. 2021; 135: 17-28https://doi.org/10.1016/j.jclinepi.2021.02.021
- [The PRISMA statement extension for systematic reviews incorporating network meta-analysis: PRISMA-NMA].Med Clin (Barc). 2016; 147: 262-266https://doi.org/10.1016/j.medcli.2016.02.025
- The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.BMJ. 2021; 372: n71https://doi.org/10.1136/bmj.n71
- Motivational interviewing for smoking cessation: a meta-analytic review.J Consult Clin Psychol. 2010; 78: 868-884https://doi.org/10.1037/a0021498
- Rayyan-a web and mobile app for systematic reviews.Syst Rev. 2016; 5: 210https://doi.org/10.1186/s13643-016-0384-4
- Defining and measuring abstinence in clinical trials of smoking cessation interventions: an updated review.Nicotine Tob Res. 2020; 22: 1098-1106https://doi.org/10.1093/ntr/ntz110
- RoB 2: a revised tool for assessing risk of bias in randomised trials.BMJ. 2019; 366: l4898https://doi.org/10.1136/bmj.l4898
- A network meta-analysis of psychosocial interventions for refugees and asylum seekers with PTSD.BMJ Glob Health. 2021; 6https://doi.org/10.1136/bmjgh-2021-005029
- CINeMA: an approach for assessing confidence in the results of a network meta-analysis.PLOS Med. 2020; 17e1003082https://doi.org/10.1371/journal.pmed.1003082
- CINeMA: software for semiautomated assessment of the confidence in the results of network meta-analysis.Campbell Syst Rev. 2020; 16https://doi.org/10.1002/cl2.1080
- Reporting and methodological quality of acupuncture network meta-analyses could be improved.J Clin Epidemiol. 2023; 153: 1-12https://doi.org/10.1016/j.jclinepi.2022.11.004
- Evaluating the quality of evidence from a network meta-analysis.PLOS ONE. 2014; 9: e99682https://doi.org/10.1371/journal.pone.0099682
- Graphical tools for network meta-analysis in Stata.PLOS ONE. 2013; 8: e76654https://doi.org/10.1371/journal.pone.0076654
- Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: an overview and tutorial.J Clin Epidemiol. 2011; 64: 163-171https://doi.org/10.1016/j.jclinepi.2010.03.016
Cochrane handbook for systematic reviews of interventions. https://training.cochrane.org/handbook/current. Accessed July 9, 2022
- Measuring inconsistency in meta-analyses.BMJ. 2003; 327: 557-560https://doi.org/10.1136/bmj.327.7414.557
- Effectiveness of individual real-time video counseling on smoking, nutrition, alcohol, physical activity, and obesity health risks: systematic review.J Med Internet Res. 2020; 22: e18621https://doi.org/10.2196/18621
- Individual behavioural counselling for smoking cessation.Cochrane Database Syst Rev. 2017; 2018Cd001292https://doi.org/10.1002/14651858.CD001292.pub3
- Use of text messages to communicate clinical recommendations to health workers in rural China: a cluster-randomized trial.Bull World Health Organ. 2014; 92: 474-481https://doi.org/10.2471/BLT.13.127076
- Behavioural interventions for smoking cessation: an overview and network meta-analysis.Cochrane Database Syst Rev. 2021; 1CD013229https://doi.org/10.1002/14651858.CD013229.pub2
- Which is the best primary medication for long-term smoking cessation–nicotine replacement therapy, bupropion or varenicline?.Expert Opin Pharmacother. 2007; 8: 2903-2915https://doi.org/10.1517/14656566.8.17.2903
- Smoking cessation in chronic obstructive pulmonary disease.Semin Respir Crit Care Med. 2015; 36: 491-507https://doi.org/10.1055/s-0035-1555610
Article info
Publication history
Published online: March 07, 2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
