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[Group therapy and smoking cessation].

A M Møller1, H Tønnesen

  • 1H:S Bispebjerg Hospital, anaestesiologisk afdeling R.

Ugeskrift for Laeger
|September 18, 1999
PubMed
Summary
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Group smoking cessation programs significantly increase quitting success compared to self-help materials. While effective, their public health impact is limited by low participation rates.

Area of Science:

  • Public Health
  • Behavioral Science
  • Addiction Medicine

Background:

  • Group-based smoking cessation programs offer behavioral techniques and mutual support.
  • These programs are widely accessible to smokers aiming to quit.

Purpose of the Study:

  • To evaluate the effectiveness of group format smoking cessation programs for long-term abstinence.
  • To compare group therapy with self-help, individual counseling, and minimal interventions.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials.
  • Included trials with at least two group meetings and six-month follow-up.
  • Extracted data on successful quitters, with biochemical validation where possible.

Main Results:

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  • Group programs demonstrated a significantly higher cessation rate than self-help interventions (OR 2.10).
  • Group therapy was more effective than no intervention or minimal contract interventions (OR 1.91).
  • No significant difference in effectiveness was found compared to similar intensity individual counseling.

Conclusions:

  • Group smoking cessation programs are more effective than self-help and less intensive interventions.
  • Evidence is insufficient to compare group effectiveness against intensive individual counseling.
  • While beneficial for motivated individuals, low uptake limits the public health impact of group programs.