Virginia Hill Rice1, Lindsay Stead. 1. Wayne State University College of Nursing and Karmanos Cancer Institute, Detroit, Michigan 48202, USA.
Abstract
OBJECTIVE: The study objective was to determine through meta-analysis the effects of nursing-delivered smoking-cessation interventions. RESULTS: Thirty-four studies met inclusion criteria in this updated meta-analysis. Twenty-six studies compared a nursing intervention with a control or usual care group of adults and found interventions of high and low intensity to modestly increase the odds of quitting (1.36, 95% confidence interval 1.22-1.51). The study results demonstrated heterogeneity; using a random effects model did not make a difference. There was evidence that interventions were most effective for hospital inpatients with cardiovascular disease than for patients with other conditions (odds ratio 2.14, confidence interval 1.39-3.31). Interventions in nonhospitalized adults were beneficial as well; no effect was found for additive intervention components. Counseling during health-screening programs or as part of multifactorial secondary preventions programs was found to be the least effective. The challenge will be to incorporate smoking-cessation interventions into evidence-based nursing practice.
OBJECTIVE: The study objective was to determine through meta-analysis the effects of nursing-delivered smoking-cessation interventions. RESULTS: Thirty-four studies met inclusion criteria in this updated meta-analysis. Twenty-six studies compared a nursing intervention with a control or usual care group of adults and found interventions of high and low intensity to modestly increase the odds of quitting (1.36, 95% confidence interval 1.22-1.51). The study results demonstrated heterogeneity; using a random effects model did not make a difference. There was evidence that interventions were most effective for hospital inpatients with cardiovascular disease than for patients with other conditions (odds ratio 2.14, confidence interval 1.39-3.31). Interventions in nonhospitalized adults were beneficial as well; no effect was found for additive intervention components. Counseling during health-screening programs or as part of multifactorial secondary preventions programs was found to be the least effective. The challenge will be to incorporate smoking-cessation interventions into evidence-based nursing practice.
Authors: Theo van Achterberg; Getty G J Huisman-de Waal; Nicole A B M Ketelaar; Rob A Oostendorp; Johanna E Jacobs; Hub C H Wollersheim Journal: Health Promot Int Date: 2010-08-25 Impact factor: 2.483
Authors: I-Chuan Li; Shoou-Yih D Lee; Chiu-Yen Chen; Yu-Qian Jeng; Yu-Chi Chen Journal: Int J Environ Res Public Health Date: 2014-05-06 Impact factor: 3.390