ATTRIBUTES OF SUCCESSFUL SMOKING CESSATION INTERVENTIONS IN MEDICAL-PRACTICE - A META-ANALYSIS OF 39 CONTROLLED TRIALS
ATTRIBUTES OF SUCCESSFUL SMOKING CESSATION INTERVENTIONS IN MEDICAL-PRACTICE - A META-ANALYSIS OF 39 CONTROLLED TRIALS
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DOI：
10.1001/jama.1988.03720190050031
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发表时间：
1988-05-20
影响因子：
120.7
通讯作者：
BREKKE, ML
中科院分区：
文献类型：
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作者：
KOTTKE, TE;BATTISTA, RN;BREKKE, ML
采用Meta分析方法对39项对照戒烟试验中的108项干预对照进行了检验。干预的类型(面对面的建议比所有其他的更好)、干预者的类型(医生和非内科咨询师都比单独使用更好)、强化治疗的次数和强化治疗的持续时间与干预开始后6个月的成功有关。干预使用的方式的数量预测了成功，具有边缘的统计学意义。多变量分析预测，由医生和非医生组成的团队使用多种干预方式在多个场合提供个性化建议将产生最佳结果。干预开始12个月后，项目的成功与干预会议的类型(团体和个人会议结合在一起比单独进行更好)、干预方式的数量和强化会议的数量有关。在对混杂因素进行多变量调整后，仅干预方式的数量就与干预成功呈正相关。
Meta-analysis was used to examine 108 intervention comparisons in 39 controlled smoking cessation trials. Type of intervention (face-to-face advice being better than all others), type of intervenor (both physician and nonphysician counselors better than either alone), the number of reinforcing sessions, and the duration of reinforcing sessions were related to success six months after the initiation of intervention. The number of modalities used by the intervention predicted success with borderline statistical significance. Multivariate analysis predicted that a team of physicians and nonphysicians using multiple intervention modalities to deliver individualized advice on multiple occasions would produced the best result. Program success 12 months after the initiation of intervention was related to the type of intervention session (group and individual sessions combined better than either alone), the number of intervention modalities, and the number of reinforcing sessions. With multivariate adjustment for confounding, the number of intervention modalities alone had a positive association with intervention success.