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Effectiveness of decision aids for smoking cessation in adults: a quantitative systematic review

Moyo et al (2018)

JBI Evidence Synthesis - 10.11124/JBISRIR-2017-003698

Evidence Categories

  • Care setting: Healthcare Setting
  • Population group: Adults
  • Intervention: Self-Help Materials
  • Outcome: Smoking cessation
  • Outcome: Smoking Quit Attempts

Type of Evidence

Systematic Review

Aims

To determine the effectiveness of the use of decision aids to facilitate the shared decision-making process between a person and a healthcare provider on smoking cessation rates, knowledge of smoking cessation methods and decisional quality.

Findings

Eight papers representing seven unique studies evaluating smoking cessation decision aids were included. Of the six studies that measured abstinence, only two had positive findings, with one reaching statistical significance. The fours studies that measured quit attempts all demonstrated a trend toward an increase in the number of quit attempts, with one study reaching statistical significance. Four of the five studies that measured knowledge reported an initial increase in the knowledge of smoking cessation methods, with two studies reaching statistical significance. Two of the three studies that measured decisional quality showed an improvement in decisional quality after use of the decision aid, with one study reaching statistical significance.

Conclusions

The evidence suggests that decision aids may be effective in increasing smoking cessation knowledge and decisional quality while increasing quit attempts. There is, however, inconclusive evidence to support the definitive effectiveness of decision aids for long term and sustained smoking cessation.