Group behaviour therapy programmes for smoking cessation

Stead LF et al (2017)

Cochrane Database of Systematic Reviews - 10.1002/14651858.CD001007.pub3.

Ewch i'r cyhoeddiad

Mapiau Tystiolaeth

• Lleoliadau Gofal: Lleoliad gofal iechyd
• Lleoliadau Gofal: Lleoliad gweithle
• Grwpiau Poblogaeth: Oedolion
• Ymyriadau: Therapi Ymddygiad Gwybyddol
• Ymyriadau: Cymorth Ymddygiad
• Canlyniad: Rhoi'r gorau i ysmygu

Math o Dystiolaeth

Adolygiad Systematig

Nodau

Mae'r awduron yn datgan:

"To determine the effect of group-delivered behavioural interventions in achieving long-term smoking cessation."

Canfyddiadau

Mae'r awduron yn datgan:

"Sixty-six trials met our inclusion criteria for one or more of the comparisons in the review. Thirteen trials compared a group programme with a self-help programme; there was an increase in cessation with the use of a group programme (N = 4395, risk ratio (RR) 1.88, 95% confidence interval (CI) 1.52 to 2.33, I2 = 0%). We judged the GRADE quality of evidence to be moderate, downgraded due to there being few studies at low risk of bias. Fourteen trials compared a group programme with brief support from a health care provider. There was a small increase in cessation (N = 7286, RR 1.22, 95% CI 1.03 to 1.43, I2 = 59%). We judged the GRADE quality of evidence to be low, downgraded due to inconsistency in addition to risk of bias. There was also low quality evidence of benefit of a group programme compared to no-intervention controls, (9 trials, N = 1098, RR 2.60, 95% CI 1.80 to 3.76 I2 = 55%). We did not detect evidence that group therapy was more effective than a similar intensity of individual counselling (6 trials, N = 980, RR 0.99, 95% CI 0.76 to 1.28, I2 = 9%). Programmes which included components for increasing cognitive and behavioural skills were not shown to be more effective than same-length or shorter programmes without these components."

Casgliadau

Mae'r awduron yn datgan:

"Group therapy is better for helping people stop smoking than self-help, and other less intensive interventions. There is not enough evidence to evaluate whether groups are more effective, or cost-effective, than intensive individual counselling. There is not enough evidence to support the use of particular psychological components in a programme beyond the support and skills training normally included."