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Cited by 220Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

Effectiveness of smoking cessation interventions among adults: a systematic review of reviews

Lemmens, Valery, Oenema, Anke, Knut, Inge Klepp, Brug, Johannes·2008·European Journal of Cancer Prevention
DOI 10.1097/cej.0b013e3282f75e48
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Abstract

The objective of this study was to identify the most effective intervention strategies and policies for smoking cessation among adults. The Medline and Cochrane Library databases were searched, limited to publications since January 2000. A 'review of reviews' approach was followed. Systematic reviews and meta-analyses were included. Reviews aimed at adolescents or specific subgroups were excluded. Two reviewers independently assessed titles and abstracts. For every intervention strategy, only the most recent publication was included. Twenty-three studies met the inclusion criteria. The included intervention strategies and policies were ranked according to their effect size, taking into account the number of original studies, the proportion of studies with a positive effect and the presence of a long-term effect. Evidence of effectiveness for the following strategies was found: group behavioural therapy [odds ratio (OR) 2.17, confidence interval (CI) 1.37-3.45], bupropion (OR 2.06, CI: 1.77-2.40), intensive physician advice (OR 2.04, Cl: 1.71-2.43), nicotine replacement therapy (OR 1.77, CI: 1.66-1.88), individual counselling (OR 1.56, CI: 1.32-1.84), telephone counselling (OR 1.56, CI: 1.38-1.77), nursing interventions (OR 1.47, CI: 1.29-1.67) and tailored self-help interventions (OR 1.42, CI: 1.26-1.61). A 10% increase in price increased cessation rates by 3-5%. Comprehensive clean indoor laws increased quit rates by 12-38%. These results show and confirm that a wide array of effective smoking cessation intervention approaches and policies can have a large impact on smoking cessation rates.

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  • In a review of 50 randomised controlled trials and another review of 23 studies since January 2000, a group format for a behavioural intervention was not found to be significantly different from an individual format.

    “In a review of 50 randomised controlled trials 22 and another review of 23 studies since January 2000, 23 a group format for a behavioural intervention was not found to be significantly different from an individual format”

    From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [23]

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Authors
Lemmens, V., Oenema, A., Knut, I. K., & Brug, J.
Affiliations
  • Erasmus MC (NL)
  • University of Oslo (NO)
Corresponding author
Lemmens, Valery
ORCID
Venue
European Journal of Cancer Prevention
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2008-11
Volume
17
Issue
6
Pages
535-544
ISSN
0959-8278 (ISSN-L)
DOI
10.1097/cej.0b013e3282f75e48
OpenAlex
W1690678491
Cited by
220
References
52
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 9 · 2021: 11 · 2020: 9 · 2019: 11 · 2018: 9 · 2017: 13 · 2016: 17 · 2015: 21 · 2014: 22 · 2013: 16 · 2012: 17
FWCI
1.74
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Cancer Prevention (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
smoking cessation, smoking cessation interventions, adults, bupropion, nicotine replacement therapy, physician recommendations, telephone counseling, nursing interventions, self-help intervention, tobacco price increases, tobacco control
MeSH terms
Adult, Algorithms, Antidepressive Agents, Behavior Therapy, Counseling, Humans, Nicotine, Physician-Patient Relations, Psychotherapy, Group, Self Medication, Smoking Cessation, Bupropion, Treatment Outcome

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