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Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis

机译：动机访谈对戒烟的功效：系统评价和荟萃分析

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Objective A systematic review and meta-analysis to investigate the efficacy of interventions incorporating motivational interviewing for smoking cessation and identify correlates of treatment effects Data sources Medline/PubMed, Psyclnfo and other sources including grey literature Study selection Title/abstract search terms were motivational interview* OR motivational enhancement AND smok*, cigarette*, tobacco, OR nicotine. Randomised trials reporting number of smokers abstinent at follow up were eligible.rnData extraction Data were independently coded by the first and third authors. We coded for a variety of study, participant, and intervention related variables. Data synthesis A random effects logistic regression with both a random intercept and a random slope for the treatment effect.rnResults 31 smoking cessation research trials were selected for the study: eight comprised adolescent samples, eight comprised adults with chronic physical or mental illness, five comprised pregnant/postpartum women and 10 comprised other adult samples. Analysis of the trials (9485 individual participants) showed an overall OR comparing likelihood of abstinence in the motivational interviewing (Ml) versus control condition of OR 1.45 (95% Cl 1.14 to 1.83). Additional potential correlates of treatment effects such as study, sample, and intervention characteristics were examined. Conclusions This is the most comprehensive review of Ml for smoking cessation conducted to date. These findings suggest that current Ml smoking cessation approaches can be effective for adolescents and adults. However, comparative efficacy trials could be useful.
机译：目的进行系统的回顾和荟萃分析，以调查将动机访谈与戒烟相结合的干预措施的有效性，并确定治疗效果的相关性。或增强动机，抽烟*，香烟*，烟草或尼古丁。报告有随访的戒烟者的随机试验符合条件。数据提取数据由第一和第三作者独立编码。我们为各种研究，参与者和干预相关变量编码。数据综合随机效应对数回归，随机截距和随机斜率对治疗效果的影响。结果选择了31项戒烟研究试验用于研究：八名青少年样本，八名患有慢性身体或精神疾病的成年人，五名青少年孕妇/产后妇女和10名其他成人样本。对试验（9485名个体参与者）的分析显示，总体上比较了在动机面试（M1）中禁欲的可能性与对照组1.45的条件（95％Cl 1.14至1.83）。还检查了治疗效果的其他潜在关联，例如研究，样本和干预特征。结论这是迄今为止对M1戒烟的最全面的综述。这些发现表明，目前的M1戒烟方法对于青少年和成人可能是有效的。但是，比较功效试验可能是有用的。

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  • 来源
    《Tobacco control》 |2010年第5期|P.410-416|共7页
  • 作者

    Carolyn J Heckman; Brian L Egleston; Makary T Hofmann;

  • 作者单位

    Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA;

    Biostatistics and Informatics,Fox Chase Cancer Center,Philadelphia, Pennsylvania, USA;

    Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA;

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