Tobacco cessation interventions for young people

Stanton, Alan; Grimshaw, Gill

doi:10.1002/14651858.cd003289.pub5

Cited by 100 publications

(89 citation statements)

References 160 publications

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“…A national survey of primary care physician and practice factors found that having trained office staff available significantly increased physicians' advising patients to quit at each visit. 87 …”

Section: Best Office Practicesmentioning

confidence: 99%

“…Several of the reviews made a resounding call for additional studies. 87 In general, studies have used age 18 to differentiate adolescent and adult studies and guidelines. However, in the past decade, continued advances in understanding neurobiology and cognitive development in youth have demonstrated that such a cutoff is not developmentally valid.…”

Section: Resources For Pediatric Providersmentioning

confidence: 99%

See 1 more Smart Citation

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Pbert¹,

Farber

Horn

et al. 2015

Pediatrics

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Tobacco use and tobacco smoke exposure are among the most important preventable causes of premature disease, disability, and death and therefore constitute a major pediatric health concern. The pediatric primary care setting offers excellent opportunities to prevent tobacco use in youth and to deliver cessation-related treatment to youth and parents who use tobacco. This report updates a \u22state-of-the-art\u22 article published a decade ago on office-based interventions to address these issues. Since then there has been marked progress in understanding the nature, onset, and trajectories of tobacco use and nicotine addiction in youth with implications for clinical practice. In addition, clinicians need to remain abreast of emerging nicotine delivery systems, such as electronic cigarettes, that may influence uptake or continuation of smoking. Although evidence-based practice guidelines for treating nicotine addiction in youth are not yet available, research continues to build the evidence base toward that goal. In the interim, practical guidelines are available to assist clinicians in addressing nicotine addiction in the pediatric clinical setting. This article reports current practices in addressing tobacco in pediatric primary care settings. It reviews our increasing understanding of youth nicotine addiction, summarizes research efforts on intervention in the past decade and additional research needed going forward, and provides practical guidelines for pediatric health care providers to integrate tobacco use prevention and treatment into their clinical practice. Pediatric providers can and should play an important role in addressing tobacco use and dependence, both in the youth they care for and in parents who use tobacco

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Section: Best Office Practicesmentioning

confidence: 99%

Section: Resources For Pediatric Providersmentioning

confidence: 99%

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Pbert¹,

Farber

Horn

et al. 2015

Pediatrics

View full text Add to dashboard Cite

show abstract

“…is known about which intervention elements are crucial for successful smoking cessation [2,3]. The 2013 Cochrane Review for smoking cessation interventions for those younger than 20 years [3] identified 28 trials of sufficient quality, of which only 3 found statistically significant evidence of an intervention effect.…”

mentioning

confidence: 99%

“…The 2013 Cochrane Review for smoking cessation interventions for those younger than 20 years [3] identified 28 trials of sufficient quality, of which only 3 found statistically significant evidence of an intervention effect. The authors concluded that there is not yet sufficient evidence to recommend implementation of any one intervention model and that there continues to be a need for well-designed adequately powered randomized controlled trials.…”

mentioning

confidence: 99%

Predictors of adolescent smoking cessation and smoking reduction

Haug

Schaub

Schmid

2014

Patient Education and Counseling

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OBJECTIVE: To investigate the processes of change, demographic, health-and smokingrelated predictors of both smoking cessation and smoking reduction in adolescents. METHODS: Data were drawn from a sample of 755 adolescent smokers who participated in a study testing the efficacy of a text messaging-based intervention for smoking cessation. Demographic, health-and smoking-related variables were assessed at baseline. Five processes of smoking cessation, derived from the Transtheoretical Model and the Social Cognitive Theory, as well as outcome measures were assessed at 6-month follow up. Univariate and multivariate regression analyses were conducted to identify baseline and process variables to predict smoking abstinence and smoking reduction. RESULTS: Male gender (OR=0.43, p<.01), lower alcohol consumption (OR=0.90, p=.05) and a lower number of cigarettes smoked per day at baseline (OR=0.87, p<.01) predicted smoking abstinence. Baseline physical activity predicted smoking reduction (OR=1.04, p=.03). None of the examined process variables significantly predicted smoking abstinence. The process variable "counter-conditioning" predicted smoking reduction (OR=1.46, p=.03). CONCLU-SIONS: Baseline predictors of smoking cessation differ from predictors of smoking reduction. Dynamic or modifiable variables play an important role in predicting adolescent smoking cessation. PRACTICE IMPLICATIONS: Counter-conditioning might be an important element in adolescent smoking cessation interventions. of the 10 examined processes only "counter-conditioning" was effective in changing adolescent smoking behavior. DOIThe aims of this study were to investigate a comprehensive set of demographic, health-and smokingrelated predictors of both smoking cessation and smoking reduction in adolescents. Furthermore, we tested whether the use of various processes of change derived from major theoretical models for adolescent smoking cessation predicted smoking cessation or reduction. The results of this study might increase our understanding of how specific intervention elements and participants` characteristics may influence adolescent smoking cessation. Methods ParticipantsThe data for this study were collected within the randomized controlled trial "Efficacy of a text present in the school classes, of whom 2638 (99.3%) completed the assessment. Afterwards, the students were invited to complete an online screening. The survey included the assessment of demographic data, alcohol consumption, weekly physical activity, tobacco smoking status, number of smoking friends and ownership of a mobile phone. Using these data, daily or occasional smoking students who owned a mobile phone were invited to participate in a study testing the efficacy of a text messaging based smoking cessation intervention. After receiving informed consent online, the following smoking-related variables were assessed: stage of change, number of cigarettes smoked per day, past quit attempts, and age of smoking onset. From 1012 eligible persons, who met the inclusion c...

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“…A review of 29 studies including 6000 young smokers found evidence of the efficacy of MI as an effective strategy to assist with smoking cessation [22]. Women in this study received MI every two weeks from recruitment to six weeks post birth and could opt to have their interview incorporated into their antenatal appointment or at an alternative time over the phone.…”

Section: Motivational Interviewingmentioning

confidence: 99%

A Multiple Component Intervention to Assist Young Pregnant Smokers to Cease Smoking: A Randomised Controlled Pilot Study

Lewis¹,

Hauck²,

Ronchi³

et al. 2016

J Addict Res Ther

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Objective: Australian rates of cigarette smoking are the lowest in the world. Young pregnant smokers are a sub population where smoking remains high. This pilot study assessed the feasibility of a multi-component intervention (Carbon Monoxide testing, motivational interviewing and a non-smoking buddy) to assist young pregnant women to cease smoking. Methods:Between October 2013 and June 2015, this multi-centred West Australian study recruited pregnant smokers aged 16 to 24, attending their first antenatal visit. Women (n=80) were randomised to the intervention and standard smoking cessation advice (n=43) or standard smoking cessation advice alone (n=37). At 36 weeks gestation and six weeks post birth, cessation rates were compared between groups using repeated measures survival analysis and reduction in smoking was examined using repeated measures linear regression on the number of cigarettes smoked. Results:The majority (89%) of women were unemployed or not in education, used illicit drugs (43%) and had experienced sexual abuse (23%). Involvement with child protection services was common (38%). Cigarette initiation occurred at a mean age of 13 years, median number of cigarettes smoked at baseline was 10 in both groups. Smoking cessation in intervention and controls were 17% vs. 14% at 36 weeks and 23% vs. 7% 6 weeks post birth. No significant differences in cessation or smoking reduction between groups were found individually or in the repeated events analysis. Conclusion:Given the low number of participants our findings cannot conclusively rule out this multi-component intervention. We believe it remains possible this intervention may prove effective in a larger group of participants and in another setting. Monitoring trends in this vulnerable, difficult to engage group of pregnant young women is important if we are to continue to devise effective interventions.

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Tobacco cessation interventions for young people

Cited by 100 publications

References 160 publications

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Predictors of adolescent smoking cessation and smoking reduction

A Multiple Component Intervention to Assist Young Pregnant Smokers to Cease Smoking: A Randomised Controlled Pilot Study

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