Cited by 390Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesBehavioral Health and Interventions

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Brief opportunistic smoking cessation interventions: a systematic review and meta‐analysis to compare advice to quit and offer of assistance

Aveyard, Paul, Begh, Rachna, Parsons, Amanda, West, Robert·2012·Addiction

DOI 10.1111/j.1360-0443.2011.03770.x

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Abstract

AIMS: This study aimed to assess the effects of opportunistic brief physician advice to stop smoking and offer of assistance on incidence of attempts to stop and quit success in smokers not selected by motivation to quit. METHODS: We included relevant trials from the Cochrane Reviews of physician advice for smoking cessation, nicotine replacement therapy (NRT), varenicline and bupropion. We extracted data on quit attempts and quit success. Estimates were combined using the Mantel-Haentszel method and heterogeneity assessed with the I(2) statistic. Study quality was assessed by method of randomization, allocation concealment and follow-up blind to allocation. RESULTS: Thirteen studies were included. Compared to no intervention, advice to quit on medical grounds increased the frequency of quit attempts [risk ratio (RR) 1.24, 95% confidence interval (CI): 1.16-1.33], but not as much as behavioural support for cessation (RR 2.17, 95% CI 1.52-3.11) or offering NRT (RR 1.68, 95% CI: 1.48-1.89). In a direct comparison, offering assistance generated more quit attempts than giving advice to quit on medical grounds (RR 1.69, 95% CI: 1.24-2.31 for behavioural support and 1.39, 95% CI: 1.25-1.54 for offering medication). There was evidence that medical advice increased the success of quit attempts and inconclusive evidence that offering assistance increased their success. CONCLUSIONS: Physicians may be more effective in promoting attempts to stop smoking by offering assistance to all smokers than by advising smokers to quit and offering assistance only to those who express an interest in doing so.

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Authors: Aveyard, P., Begh, R., Parsons, A., & West, R.
Affiliations: University of Birmingham (GB)
University College London (GB)
Corresponding author: Aveyard, Paul
ORCID: Aveyard, Paul
Begh, Rachna
West, Robert
Venue: Addiction
Publisher: Wiley
Published: 2012-02-28
Volume: 107
Issue: 6
Pages: 1066-1073
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2011.03770.x
OpenAlex: W1740591447
Cited by: 390
References: 67
Citations by year: 2026: 13 · 2025: 22 · 2024: 20 · 2023: 28 · 2022: 26 · 2021: 30 · 2020: 32 · 2019: 33 · 2018: 38 · 2017: 28 · 2016: 26 · 2015: 29 · 2014: 25 · 2013: 30 · 2012: 10
FWCI: 2.26
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Funders: Cancer Research UK (14135)
British Heart Foundation
Economic and Social Research Council (ES/G007489/1)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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, behavioral support, nicotine replacement therapy, varenicline, bupropion, quit attempts
MeSH terms: Smoking Prevention, Behavior Therapy, Counseling, Health Promotion, Humans, Smoking Cessation, Tobacco Use Cessation Devices

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Brief opportunistic smoking cessation interventions: a systematic review and meta‐analysis to compare advice to quit and offer of assistance

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