Tobacco cessation interventions for young people

Fanshawe TR et al (2017)

Cochrane Database of Systematic Reviews - 10.1002/14651858.CD003289.pub6.

Ewch i'r cyhoeddiad

Mapiau Tystiolaeth

• Lleoliadau Gofal: Lleoliad gofal iechyd
• Lleoliadau Gofal: Lleoliad cymunedol
• Lleoliadau Gofal: Lleoliad Addysgol
• Grwpiau Poblogaeth: Plant ac Oedolion Ifanc
• Ymyriadau: Bupropian
• Ymyriadau: Aml-gydran
• Ymyriadau: Cymorth Ymddygiad
• Ymyriadau: Therapi Amnewid Nicotin
• Canlyniad: Rhoi'r gorau i ysmygu

Math o Dystiolaeth

Adolygiad Systematig

Nodau

Mae'r awduron yn datgan:

"To evaluate the effectiveness of strategies that help young people to stop smoking tobacco."

Canfyddiadau

Mae'r awduron yn datgan:

"Interventions were varied, with the majority adopting forms of individual or group counselling, with or without additional self-help materials to form complex interventions. Eight studies used primarily computer or messaging interventions, and four small studies used pharmacological interventions (nicotine patch or gum, or bupropion).

There was evidence of an intervention effect for group counselling (9 studies, risk ratio (RR) 1.35, 95% confidence interval (CI) 1.03 to 1.77), but not for individual counselling (7 studies, RR 1.07, 95% CI 0.83 to 1.39), mixed delivery methods (8 studies, RR 1.26, 95% CI 0.95 to 1.66) or the computer or messaging interventions (pooled RRs between 0.79 and 1.18,9 studies in total). There was no clear evidence for the effectiveness of pharmacological interventions, although confidence intervals were wide (nicotine replacement therapy 3 studies, RR 1.11, 95% CI 0.48 to 2.58; bupropion 1 study RR 1.49, 95% CI 0.55 to 4.02). No subgroup precluded the possibility of a clinically important effect. Studies of pharmacotherapies reported some adverse events considered related to study treatment, though most were mild, whereas no adverse events were reported in studies of behavioural interventions. Our certainty in the findings for all comparisons is low or very low, mainly because of the clinical heterogeneity of the interventions, imprecision in the effect size estimates, and issues with risk of bias."

Casgliadau

Mae'r awduron yn datgan:

"There is limited evidence that either behavioural support or smoking cessation medication increases the proportion of young people that stop smoking in the long-term. Findings are most promising for group-based behavioural interventions, but evidence remains limited for all intervention types. There continues to be a need for well-designed, adequately powered, randomized controlled trials of interventions for this population of smokers."