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Systematic review of the effectiveness of stage based interventions to promote smoking cessation

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Riemsma, R. P., Pattenden, Jill, Bridle, Christopher, Sowden, Amanda J., Mather, Lisa, Watt, Ian and Walker, Anne. (2003) Systematic review of the effectiveness of stage based interventions to promote smoking cessation. BMJ, Vol.326 (No.7400). ISSN 0959-535X

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Official URL: http://dx.doi.org/10.1136/bmj.326.7400.1175

Abstract

Objective To evaluate the effectiveness of
interventions using a stage based approach in
bringing about positive changes in smoking
behaviour.
Design Systematic review.
Data sources 35 electronic databases, catalogues, and
internet resources (from inception to July 2002).
Bibliographies of retrieved references were scanned
for other relevant publications, and authors were
contacted if necessary.
Results 23 randomised controlled trials were
reviewed; two reported details of an economic
evaluation. Eight trials reported effects in favour of
stage based interventions, three trials showed mixed
results, and 12 trials found no statistically significant
differences between a stage based intervention and a
non-stage based intervention or no intervention.
Eleven trials compared a stage based intervention
with a non-stage based intervention, and one reported
statistically significant effects in favour of the stage
based intervention. Two studies reported mixed
effects, and eight trials reported no statistically
significant differences between groups. The
methodological quality of the trials was mixed, and
few reported any validation of the instrument used to
assess participants’ stage of change. Overall, the
evidence suggests that stage based interventions are
no more effective than non-stage based interventions
or no intervention in changing smoking behaviour.
Conclusions Limited evidence exists for the
effectiveness of stage based interventions in changing
smoking behaviour.

Item Type:

Journal Article

Subjects:

R Medicine > RA Public aspects of medicine

Divisions:

Faculty of Medicine > Warwick Medical School

Library of Congress Subject Headings (LCSH):

Smoking cessation -- Great Britain, Preventive health services -- Great Britain

Journal or Publication Title:

BMJ

Publisher:

BMJ Group

ISSN:

0959-535X

Official Date:

29 May 2003

Dates:

Date	Event
29 May 2003	Published

Volume:

Vol.326

Number:

No.7400

Identification Number:

10.1136/bmj.326.7400.1175

Status:

Peer Reviewed

Access rights to Published version:

Open Access

Funder:

Great Britain. National Health Service (NHS)

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