126 Does culturally tailoring a smoking cessation intervention help more people to quit or reduce their smoking? A systematic review

Abstract

Objectives Smoking cessation interventions developed in Western countries have not been as effective in helping people quit smoking when implemented outside of the Western context. This may be because smoking behaviours and predictors are rooted in culture. We define culture as the collective or shared values and beliefs that guide peoples’ decisions and behaviours. Adapting effective cessation interventions to address culturally influenced predictors of smoking behaviours could improve their impact across communities. However, the evidence of the overall effectiveness of culturally tailored interventions remains unclear, as well as the relative effectiveness of different tailoring methods. Interventions that are tailored more deeply, for example incorporating messaging drawn from cultural values may have more impact than those tailored more superficially (language translation). The aim of this systematic review is to examine the impact of culturally tailoring smoking cessation interventions to determine if they are more effective in helping people quit or reduce smoking. Method We searched Medline, Embase, PsychINFO, and CENTRAL for randomized controlled trials comparing a culturally tailored smoking cessation intervention to an intensity-matched non-tailored intervention or the same intervention without the tailored component. Studies that recruited adults and included quitting and/or reduced smoking as an outcome were included. Eligibility screening and data extraction wil…