戒烟的非药物干预措施:系统审查和元分析的分析
Tao Nian1,2, Kangle Guo1,2, Wendi Liu1,2
1Evidence Based Social Science Research Center/Health Technology Assessment Center, School of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, People's Republic of China.
BMC medicine
|September 29, 2023
概括
非药物戒烟干预措施,如认知行为教育和咨询,显示出有希望的结果,但证据质量不同. 未来的研究应该专注于高质量的试验,以改善戒烟策略.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 成 药物 药物 药物 药物
背景情况:
- 关于非药物戒烟干预措施的证据不一致,质量混合.
- 缺乏一个全面的综合证据.
- 本研究解决了对这些干预措施进行系统评估的需要.
研究的目的:
- 系统地识别,描述和评估非药物戒烟干预措施的证据.
- 绘制现有证据的地图.
- 确定最佳实践的戒烟计划.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2023年1月8日.
- 系统性审查和元分析 (SRs/MAs) 用PRISMA和AMSTAR 2评估了报告和方法质量.
- 使用泡图形可视化证据以显示研究特征.
主要成果:
- 分析了20种干预类型的145个SR/MA.
- 认知行为教育 (22.07%),专业咨询 (13.79%) 和非尼古丁电子烟 (8.97%) 是常见的干预措施.
- 咨询和行为支持显示出有效性,根据支持特征的变化. 在8.97%的研究中发现了高信心评级.
结论:
- 认知行为教育和金钱激励干预措施表明吸烟禁欲的优势.
- 非尼古丁电子烟可以帮助吸烟者过渡到减少危害的工具.
- 提高SR的方法质量和进行高质量的随机对照试验 (RCT) 对未来的实践至关重要.
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