Efficacy of Motivational Interviewing and Brief Interventions on tobacco use among healthy adults: A systematic review of randomized controlled trials.
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引用次数: 2
Abstract
Objectives: To assess the effectiveness of a brief intervention and motivational interviewing in reducing the use of different tobacco-related products in adults.
Methods: For this systematic review, PubMed, Web of Science, and PsychINFO databases were electronically searched for randomized controlled trialson the effect of a brief intervention and / or motivational interview on tobacco reduction among healthy adults published between January 1, 2011 to January 1, 2021. Data from eligible studies were extracted and analyzed. CONSORT guidelines were used to assess the quality of the studies by two reviewers for the included studies. The titles and abstracts of the search results were screened and reviewed by two independent reviewers for eligibility criteria per the inclusion and exclusion criteria. Cochrane review criteria were used to assess the risk of bias in included studies.
Results: A total of 12 studies were included in the final data extraction of 1406 studies. The brief intervention and motivational interviewing showed varied effects on tobacco use reduction among adults at different follow-ups. Seven of the 12 studies (58.3%) reported a beneficial impact on reducing tobacco use. Pieces of evidence on biochemical estimation on tobacco reduction are limited compared to self-reports, and varied results on quitting and tobacco cessation with different follow-ups.
Conclusions: The current evidence supports the effectiveness of a brief intervention and motivational interviewing to quit tobacco use. Still, it suggests using more biochemical markers as outcome measures to reach an intervention-specific decision. While more initiatives to train nurses in providing non-pharmacological nursing interventions, including brief interventions, are recommended to help people quit smoking.
目的:评估简短干预和动机性访谈在减少成人使用不同烟草相关产品方面的有效性。方法:在本系统综述中,电子检索PubMed、Web of Science和PsychINFO数据库,检索2011年1月1日至2021年1月1日发表的关于健康成年人中简短干预和/或动机访谈对烟草减少影响的随机对照试验。从符合条件的研究中提取数据并进行分析。纳入研究的两名审稿人使用CONSORT指南来评估研究的质量。检索结果的标题和摘要由两名独立的审稿人根据纳入和排除标准筛选和审查。采用Cochrane评价标准评估纳入研究的偏倚风险。结果:1406项研究的最终数据提取中,共纳入12项研究。在不同的随访中,简短干预和动机性访谈对成年人减少吸烟的效果不同。12项研究中有7项(58.3%)报告了对减少烟草使用的有益影响。与自我报告相比,关于烟草减少的生化评估的证据有限,并且在不同的随访中戒烟和戒烟的结果各不相同。结论:目前的证据支持简短干预和动机性访谈对戒烟的有效性。尽管如此,它建议使用更多的生化指标作为结果指标,以达成具体的干预决策。同时,建议采取更多行动,培训护士提供非药物护理干预措施,包括简短干预措施,以帮助人们戒烟。
期刊介绍:
The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.