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). doi:10.1136/bmj.326.7400.1175

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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
DOI:	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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