Abstract
OBJECTIVES: To analyse evidence on the effectiveness of intensive NHS treatments for smoking cessation in helping smokers to quit.
METHODS: A systematic review of studies published between 1990 and 2007. Electronic databases were searched for published studies. Unpublished reports were identified from the national research register and experts.
RESULTS: Twenty studies were included. They suggest that intensive NHS treatments for smoking cessation are effective in helping smokers to quit. The national evaluation found 4-week carbon monoxide monitoring validated quit rates of 53%, falling to 15% at 1 year. There is some evidence that group treatment may be more effective than one-to-one treatment, and the impact of 'buddy support' varies based on treatment type. Evidence on the effectiveness of in-patient interventions is currently very limited. Younger smokers, females, pregnant smokers and more deprived smokers appear to have lower short-term quit rates than other groups.
CONCLUSION: Further research is needed to determine the most effective models of NHS treatment for smoking cessation and the efficacy of those models with subgroups. Factors such as gender, age, socio-economic status and ethnicity appear to influence outcomes, but a current lack of diversity-specific analysis of results makes it impossible to ascertain the differential impact of intervention types on particular subpopulations.
| Original language | English |
|---|---|
| Pages (from-to) | 71-82 |
| Number of pages | 12 |
| Journal | Journal of public health (Oxford, England) |
| Volume | 32 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 2010 |
Keywords
- Female
- Humans
- Male
- Pregnancy
- Randomized Controlled Trials as Topic
- Smoking
- Smoking Cessation
- State Medicine
- Treatment Outcome
- United Kingdom
- Journal Article
- Meta-Analysis
- Research Support, Non-U.S. Gov't
- Review