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Behavioral Therapy for People With Diabetes Who Smoke: A Scoping Review.
Roberta Sammut1, Joseph Grech1, Riccardo Polosa2
1University of Malta, Msida, Malta.
Journal of Primary Care & Community Health
|April 24, 2024
Summary
Quitting smoking is hard for people with diabetes. More intensive behavioral interventions, like the 5As and Motivational Interviewing, show promise for smoking cessation in this population.
Area of Science:
- Medical Research
- Public Health
- Behavioral Science
Background:
- Tobacco smoking significantly worsens diabetes complications.
- Despite risks, smoking prevalence remains high among individuals with diabetes.
- Quitting smoking presents unique challenges for diabetics, necessitating tailored interventions.
Purpose of the Study:
- To systematically review behavioral interventions for smoking cessation in individuals with diabetes.
- To identify effective strategies for tobacco cessation tailored to the diabetic population.
Main Methods:
- Conducted a systematic search of multiple databases (CINAHL, MEDLINE, Cochrane, PsychInfo, PubMed Central) until July 2023.
- Included randomized controlled trials, quasiexperimental studies, and systematic reviews.
- Analyzed interventions such as the 5As, Cognitive-Behavioral Therapy, Motivational Interviewing, and counseling.
Main Results:
- Identified and reviewed a limited number of relevant studies (3 on 5As, 4 on Motivational Interviewing, 1 on counseling).
- Findings on the effectiveness of the 5As and Motivational Interviewing were conflicting.
- Evidence suggests that more intensive interventions may yield higher success rates for smoking cessation in diabetic smokers.
Conclusions:
- Further research is needed to develop and evaluate structured smoking cessation programs.
- Future interventions should focus on refining approaches like the 5As, Motivational Interviewing, and Cognitive Behavioral Therapy for this population.
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