[Counseling interventions for smoking cessation: systematic review].
Luz Helena Alba1, Raúl Murillo, Juan Sebastián Castillo
1Departamento de Medicina Preventiva y Social, Pontificia Universidad Javeriana Bogotá, Bogotá, Colombia.
Salud Publica De Mexico
|April 3, 2013
Summary
Smoking cessation counseling shows limited effectiveness, with abstinence rates ranging from 2.1% to 17.4%. Further research on cost-effectiveness is recommended for public health programs.
Area of Science:
- Public Health
- Evidence-Based Medicine
- Behavioral Science
Background:
- Smoking remains a significant public health concern globally.
- Effective smoking cessation interventions are crucial for reducing tobacco-related morbidity and mortality.
Purpose of the Study:
- To systematically review the efficacy and safety of smoking cessation counseling.
- To assess smoking cessation rates based on counseling provider, model, and format.
Main Methods:
- Systematic review using ADAPTE methodology.
- Searched multiple databases for Clinical Practice Guidelines (CPGs).
- Selected 5 CPGs (out of 925) based on methodological rigor and applicability to the Colombian health system.
Main Results:
- Physician brief counseling and trained professionals' intensive counseling (individual, group, telephone) yielded abstinence rates of 2.1%–17.4%.
- Effective intensive interventions included practical counseling and motivational interviewing.
- The overall clinical effect of smoking cessation counseling is modest, with uncertain long-term cessation rates.
Conclusions:
- Cost-effectiveness analyses are recommended for implementing smoking cessation counseling in public health programs.
- Further investigation into long-term cessation rates is warranted.
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