The Methodological Quality and Effectiveness of Technology-Based Smoking Cessation Interventions for Disadvantaged Groups: A Systematic Review and Meta-analysis.
Aims: To assess the methodological quality and effectiveness of technology-based smoking cessation interventions in disadvantaged groups.Method: Four databases (EMBASE, Cochrane, Medline, and PsycInfo) were searched for studies conducted from 1980 to May 2016. Randomized controlled trials that compa...
| Publicado en: | Nicotine & Tobacco Research Vol. 20; no. 3; pp. 276 - 286 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127874401&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127874401 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14622203 57O jtl: Nicotine & Tobacco Research issn: 14622203 maglogo: N pubinfo: dt: Mar2018 vid: 20 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 127874401 127874401 NLM28034998 127874401 10.1093/ntr/ntw391 NLM28034998 127874401 ppf: 276 ppct: 10 formats: tig: atl: The Methodological Quality and Effectiveness of Technology-Based Smoking Cessation Interventions for Disadvantaged Groups: A Systematic Review and Meta-analysis. aug: au: Boland, Veronica C. Stockings, Emily A. Mattick, Richard P. McRobbie, Hayden Brown, Jamie Courtney, Ryan J. affil: National Drug and Alcohol Research Centre (NDARC), University of New South Wales (UNSW), Randwick, Australia sug: subj: Special Populations Psychosocial Factors Smoking Cessation Therapy, Computer Assisted Methods Clinical Trials Methods Text Messaging Economics Therapy, Computer Assisted Economics Treatment Outcomes Software Economics Human Meta Analysis Arthritis Impact Measurement Scales Ferrans and Powers Quality of Life Index ab: Aims: To assess the methodological quality and effectiveness of technology-based smoking cessation interventions in disadvantaged groups.Method: Four databases (EMBASE, Cochrane, Medline, and PsycInfo) were searched for studies conducted from 1980 to May 2016. Randomized controlled trials that compared a behavioral smoking cessation intervention delivered primarily through a technology-based platform (eg, mobile phone) with a no-intervention comparison group among disadvantaged smokers were included. Three reviewers assessed all relevant studies for inclusion, and one reviewer extracted study, participant and intervention-level data, with a subset crosschecked by a second reviewer.Results: Thirteen studies targeting disadvantaged smokers (n =4820) were included. Only one study scored highly in terms of methodological rigor on EPOC criteria for judging risk of bias. Of the 13 studies using a technology-based platform, most utilized websites (n = 5) or computer programs (n = 5), and seven additionally offered nicotine replacement therapy. Technology-based interventions increased the odds of smoking cessation for disadvantaged groups at 1 month (odds ratio [OR] 1.70, 95% confidence interval [CI] 1.10, 2.63), 3 months (OR 1.30, 95% CI 1.07, 1.59), 6 months (OR 1.29, 95% CI 1.03, 1.62), and 18 months post-intervention (OR 1.83, 95% CI 1.11, 3.01).Conclusion: Few methodologically rigorous studies were identified. Mobile phone text-messaging, computer- and website-delivered quit support showed promise at increasing quit rates among Indigenous, psychiatric and inpatient substance use disorder patients. Further research is needed to address the role technology-based interventions have on overcoming health inequalities to meet the needs of disadvantaged groups.Implications: This review provides the first quantitative evidence of the effectiveness of a range of technology-based smoking cessation interventions among disadvantaged smokers, with separate estimates on the basis of intervention type, and cessation outcome measure. Providing cost-effective, easily accessible and real-time smoking cessation treatment is needed, and innovative technology-based platforms will help reach this endpoint. These interventions need to be tested in larger scale randomized controlled trial designs and target broader disadvantaged groups. Data collection beyond 6 months is also needed in order to establish the efficacy of these intervention approaches on long-term cessation rates among disadvantaged population groups. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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