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KMID : 1120220210120030177
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Osong Public Health and Research Perspectives
2021 Volume.12 No. 3 p.177 ~ p.186
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Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force
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Choi Young-Lee
Lee Cheol-Min
Cho Be-Long
Lee Eon-Sook
Oh Seung-Won
Lee Na-Ae
Yun Jae-Moon
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Abstract
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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.
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KEYWORD
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Adolescent, Behavior therapy, Practice guideline, Smoking cessation, Systematic review
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