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DC Field | Value | Language |
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dc.contributor.author | Martín-Cantera, Carlos | - |
dc.contributor.author | Puigdomènech, Elisa | - |
dc.contributor.author | Ballvé Moreno, José Luis | - |
dc.contributor.author | Arias-Agudelo, Olga Lucia | - |
dc.contributor.author | Clemente, Lourdes | - |
dc.contributor.author | Casas, Ramon | - |
dc.contributor.author | Roig, Lydia | - |
dc.contributor.author | Pérez-Tortosa, Santiago | - |
dc.contributor.author | Díaz-Gete, Laura | - |
dc.contributor.author | Granollers Mercader, Sílvia | - |
dc.date.accessioned | 2023-04-05T17:45:55Z | - |
dc.date.available | 2023-04-05T17:45:55Z | - |
dc.date.issued | 2015-10-01 | - |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.uri | http://hdl.handle.net/2445/196502 | - |
dc.description.abstract | Objective: The objective of the present review is to evaluate multicomponent/complex primary care (PC) interventions for their effectiveness in continuous smoking abstinence by adult smokers. Design: A systematic review of randomised and non-randomised controlled trials was undertaken. Eligibility criteria for included studies: Selected studies met the following criteria: evaluated effects of a multicomponent/complex intervention (with 2 or more intervention components) in achieving at least 6-month abstinence in adult smokers who visited a PC, biochemical confirmation of abstinence, intention-to-treat analysis and results published in English/Spanish. Methods: We followed PRISMA statement to report the review. We searched the following data sources: MEDLINE, Web of Science, Scopus (from inception to February 2014), 3 key journals and a tobacco research bulletin. The Scottish Intercollegiate Guidelines Network checklists were used to evaluate methodological quality. Data selection, evaluation and extraction were done independently, using a paired review approach. Owing to the heterogeneity of interventions in the studies included, a meta-analysis was not conducted. Results: Of 1147 references identified, 9 studies were selected (10,204 participants, up to 48 months of follow-up, acceptable methodological quality). Methodologies used were mainly individual or group sessions, telephone conversations, brochures or quit-smoking kits, medications and economic incentives for doctors and no-cost medications for smokers. Complex interventions achieved long-term continuous abstinence ranging from 7% to 40%. Behavioural interventions were effective and had a dose-response effect. Both nicotine replacement and bupropion therapy were safe and effective, with no observed differences. Conclusions: Multicomponent/complex interventions in PC are effective and safe, appearing to achieve greater long-term continuous smoking cessation than usual care and counselling alone. Selected studies were heterogeneous and some had significant losses to follow-up. Our results show that smoking interventions should include more than one component and a strong follow-up of the patient to maximise results. | - |
dc.format.extent | 16 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BMJ Publishing Group | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2015-008807 | - |
dc.relation.ispartof | BMJ Open, 2015, vol. 5, num. 10 | - |
dc.relation.uri | https://doi.org/10.1136/bmjopen-2015-008807 | - |
dc.rights | cc-by (c) Martín-Cantera, Carlos et al., 2015 | - |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Atenció primària | - |
dc.subject.classification | Promoció de la salut | - |
dc.subject.classification | Tractament del tabaquisme | - |
dc.subject.classification | Adults | - |
dc.subject.other | Primary care | - |
dc.subject.other | Health promotion | - |
dc.subject.other | Smoking cessation | - |
dc.subject.other | Adulthood | - |
dc.title | Effectiveness of multicomponent interventions in primary healthcare settings to promote continuous smoking cessation in adults: a systematic review | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 689995 | - |
dc.date.updated | 2023-04-05T17:45:55Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 26428333 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) |
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689995.pdf | 1.49 MB | Adobe PDF | View/Open |
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