Evid Based Mental Health 4:16 doi:10.1136/ebmh.4.1.16
  • Therapeutics

Review: advice from doctors and nurses, behavioural interventions, nicotine replacement treatment, and several pharmacological treatments increase smoking cessation rates

 QUESTION: Are smoking cessation interventions effective?

Data sources

Reviews were identified by searching the Cochrane Library.

Study selection

Reviews were selected if they included randomised controlled trials of interventions to reduce or prevent tobacco use that had ≥6 months of follow up with outcomes of sustained abstinence or point prevalence stop rates.

Data extraction

Extracted data included interventions and outcomes.

Main results

20 systematic reviews were available in the Cochrane Library. 1 review (including 31 trials and >26 000 participants who were smokers) examined simple advice given by doctors during routine care and showed that the intervention increased quit rates (weighted odds ratio [OR] 1.7, 95% CI 1.5 to 2.0). Another review of individual counselling given by nurses also showed increased stopping rates.

Behavioural interventions for smoking cessation, in the forms of individual counselling (1 review) or group therapy (1 review), showed increased stopping rates. The review of individual counselling (9 trials) showed that it was more effective than …