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Group behaviour therapy programmes for smoking cessation.

L F Stead1, T Lancaster

  • 1Department of Primary Health Care, Oxford University, Old Road Campus, Headington, Oxford, UK, OX3 7LF. lindsay.stead@dphpc.ox.ac.uk

The Cochrane Database of Systematic Reviews
|April 23, 2005
PubMed
Summary
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Group therapy significantly increases smoking cessation rates compared to self-help materials or no intervention. However, evidence is insufficient to compare its effectiveness against intensive individual counseling or to identify specific beneficial components beyond standard support and skills training.

Area of Science:

  • Behavioral Science
  • Public Health
  • Psychology

Background:

  • Group therapy provides behavioral techniques and mutual support for smoking cessation.
  • Individuals often seek methods to quit smoking.

Purpose of the Study:

  • To evaluate group therapy for smoking cessation against self-help materials and no intervention.
  • To compare group therapy with individual counseling and its added benefit to other treatments.
  • To identify effective components of group therapy and assess uptake rates.

Main Methods:

  • Systematic review of 55 randomized controlled trials (RCTs) comparing group therapy with various interventions.
  • Searches included MEDLINE, PsycINFO, and the Cochrane Tobacco Addiction Group Trials Register.
  • Primary outcome was smoking abstinence at six months, with meta-analysis using a fixed-effects model.

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Main Results:

  • Group therapy showed increased cessation rates compared to self-help (OR 2.04) and no intervention (OR 2.17).
  • No significant difference in effectiveness was found between group therapy and individual counseling of similar intensity.
  • Limited evidence suggested added benefit when group therapy was combined with other treatments, and for programs including cognitive-behavioral and relapse prevention skills.

Conclusions:

  • Group therapy is more effective than self-help and less intensive interventions for smoking cessation.
  • Further research is needed to compare group therapy with intensive individual counseling and to determine cost-effectiveness.
  • Evidence is insufficient to support specific psychological components beyond general support and skills training.