RT Journal Article
SR Electronic
T1 Smoking Cessation Interventions for Chronic Obstructive Pulmonary Disease - A Review of the literature
JF Respiratory Care
FD American Association for Respiratory Care
SP respcare.01923
DO 10.4187/respcare.01923
A1 Renata PiresYfantouda
A1 Gareth Absalom
A1 Felicity Clemens
YR 2013
UL http://rc.rcjournal.com/content/early/2013/02/19/respcare.01923.abstract
AB The aim of this systematic review is to establish the most effective stop smoking intervention approach for smokers with COPD. The search strategy included electronic databases: MEDLINE, EMBASE, AMED, PsycINFO, DARE, Cochrane Library and CINAHL between January, 2006 and January, 2010. References of the included studies were also screened for additional papers and further hand searches were conducted. The selection criteria included randomised controlled trials or quasi-randomised controlled trials with at least one group comprised of participants diagnosed with COPD. Two independent reviewers reviewed the included studies using a quality assessment form developed from the selection criteria. Divergence of quality assessment scores was resolved by the two reviewers and agreeing on a score. Four studies were selected. They indicated that psychosocial interventions combined with pharmacotherapy were effective in smoking cessation at 12 months post-intervention, although the effect was not statistically significant due to small sample size and heterogeneity between studies OR =2.35, 95% CI [0.25, 21.74],). However, despite this medium effect size, due to a lack of universal use of pharmacotherapies in most of the studies, it makes a definitive comparison of efficacy difficult to determine. The review also shows the effectiveness of psychosocial treatment for people with or without COPD symptoms at 12 months, although the effect of disease severity is not clear. The review also highlights the difficulty of maintaining attendance at community-based locations compared to acute or research settings.