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Community pharmacy interventions for public health priorities: a systematic review of community pharmacy-delivered smoking, alcohol and weight management interventions

Brown, T et al (2016)

NIHR- Public Health Research Journal - 10.3310/phr04020

Evidence Categories

  • Care setting: Healthcare Setting
  • Care setting: Community setting
  • Population group: Adults
  • Intervention: Nicotine Replacement Therapy
  • Intervention: Behaviour Support
  • Outcome: Smoking cessation

Type of Evidence

Systematic Review

Aims

To systematically review the effectiveness of community pharmacy interventions to manage alcohol misuse, smoking cessation and weight loss; to explore if and how age, sex, ethnicity and socioeconomic status moderate effectiveness; and to describe how the interventions have been organised, implemented and delivered.

Findings

The searches identified over 14,000 records, of which 24 studies were included. 12 were about smoking cessation. Nine of the studies were UK based; seven of the studies were rated ‘strong’ for quality. All studies were of adults. Pharmacy-based smoking cessation interventions including behavioural support and/or nicotine replacement therapy are effective and cost-effective in helping adults to stop smoking, particularly when compared with usual care. The pooled odds ratio of the intervention effects for smoking cessation was 1.85 (95% confidence interval 1.25 to 2.75). It is currently unknown which specific types of smoking cessation interventions are the most effective. 

Conclusions

Community pharmacy interventions are effective for smoking cessation.

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