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

R. Riemsma, J. Pattenden, C. Bridle, A. J. Sowden, L. Mather, I. S. Watt, Anne Elizabeth Walker

    Research output: Contribution to journalArticle

    165 Citations (Scopus)

    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, mid 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.

    Original languageEnglish
    Pages (from-to)1175-1177
    Number of pages2
    JournalBritish Medical Journal
    Volume326
    Issue number7400
    DOIs
    Publication statusPublished - 2003

    Keywords

    • RANDOMIZED CONTROLLED TRIAL
    • GENERAL-PRACTICE
    • SMOKERS
    • PROGRAM
    • EFFICACY
    • EXPOSURE
    • MODEL
    • CARE

    Cite this

    Riemsma, R., Pattenden, J., Bridle, C., Sowden, A. J., Mather, L., Watt, I. S., & Walker, A. E. (2003). Systematic review of the effectiveness of interventions using a stage based approach to promote smoking cessation. British Medical Journal, 326(7400), 1175-1177. https://doi.org/10.1136/bmj.326.7400.1175