非呼吸道癌症的戒烟干预:随机对照试验的系统回顾与元分析》。

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Trupti Dhumal, Kimberly M Kelly, Safalta Khadka, George A Kelley, Khalid M Kamal, Virginia G Scott, Thomas F Hogan, Felicity W K Harper
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引用次数: 0

摘要

背景:考虑到持续吸烟的高发率,癌症患者和护理人员需要有效的戒烟干预措施。目的:本研究旨在评估非呼吸道癌症患者及护理人员的烟草使用情况及戒烟干预措施:方法:确定了评估戒烟干预措施的随机对照试验。根据《系统综述和荟萃分析首选报告项目》(Preferred Reporting Items for Systematic Review and Meta-analyses)指南,检索了五个电子数据库,检索期至 2023 年 7 月。排除了肺癌、口腔癌、胸腔癌和头颈部癌症的研究。估算了效应大小;评估了偏倚风险:在 3,304 项研究中,有 17 项被纳入。干预措施包括行为疗法(6 项)、药物疗法(2 项)和综合疗法(9 项)。八项研究包括健康行为模式;行为改变技术的平均值为 5.57。相对于常规护理/安慰剂,戒烟几率的汇总大小为正且显著(几率比 = 1.24,95% 置信区间 [下限 1.02,上限 1.51])。累积荟萃分析对结果的长期积累进行了检验,结果表明,自 2020 年以来,各项研究的结果均具有显著性。有两项研究纳入了参与提供社会支持的护理人员:目前的干预措施有可能减少非呼吸系统癌症患者的烟草使用。研究结果可能有利于促进非呼吸道癌症患者戒烟。针对癌症幸存者和照顾者的双向干预措施还相当缺乏;鼓励研究人员探索双向干预方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tobacco Cessation Interventions in Non-Respiratory Cancers: A Systematic Review With Meta-analysis of Randomized Controlled Trials.

Background: Considering the high rates of persistent tobacco use, effective cessation interventions are needed for cancer patients and caregivers. Despite the need, there is a significant lack of research on tobacco cessation, especially for non-respiratory cancers (breast, prostate, colorectal, cervical, and bladder cancer).

Purpose: The objective was to evaluate tobacco use and tobacco cessation interventions among patients and caregivers for non-respiratory cancers.

Methods: Randomized controlled trials assessing tobacco cessation interventions were identified. Five electronic databases were searched in accordance with the Preferred Reporting Items for Systematic reviews and Meta-analyses guidelines through July 2023. Studies exclusive to lung, oral, thoracic, and head and neck cancers were excluded. Effect sizes were estimated; risk of bias was assessed.

Results: Of 3,304 studies, 17 were included. Interventions included behavioral (n = 6), pharmacotherapy (n = 2), and a combination (n = 9) treatment. Eight studies included a health behavior model; mean behavioral change techniques were 5.57. Pooled magnitude of the odds of cessation was positive and significant (odds ratio = 1.24, 95% confidence interval [Lower Limit 1.02, Upper Limit 1.51]) relative to usual care/placebo. Cumulative meta-analysis examined the accumulation of results over-time and demonstrated that studies have been significant since 2020. Two studies included caregivers' who were involved in the provision of social support.

Conclusions: Current interventions have the potential to reduce tobacco use in non-respiratory cancers. Results may be beneficial for promoting tobacco cessation among non-respiratory cancers. There is a considerable lack of dyadic interventions for cancer survivors and caregivers; researchers are encouraged to explore dyadic approaches.

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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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