GUO Kangle 1,2,3 , ZHOU Liying 1,2,3 , YANG Chaoqun 1,2,3 , SHANG Xue 1,2,3 , E Fenfen 1,2,3 , XU Meng 1,2,3 , WU Yanan 1,2,3 , YANG Kehu 1,2,3 , LI Xiuxia 1,2,3
  • 1. Health Technology Assessment Center/Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
  • 2. Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
  • 3. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P. R. China;
YANG Kehu, Email: yangkh-ebm@lzu.edu.cn; LI Xiuxia, Email: lixiuxia@lzu.edu.cn
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Objective To systematically review the efficacy of different non-pharmacological interventions for smoking cessation. Methods PubMed, EMbase, The Cochrane Library, Web of Science, CBM, WanFang Data, VIP and CNKI databases were electronically searched to collect randomized controlled trials (RCTs) of different non-pharmacological interventions for smoking cessation from inception to November, 2021. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies; then, network meta-analysis was performed by using Stata 15.1 software. Results A total of 27 RCTs involving 14 interventions were included. The results of the network meta-analysis showed that compared with conventional advice, video counseling (OR=2.34, 95%CI 1.32 to 4.15), mobile phone text message (OR=1.82, 95%CI 1.03 to 3.20), motivational interview (OR=2.00, 95%CI 1.11 to 3.59) and health education (OR=3.40, 95%CI 1.52 to 7.57) were higher in quitting rate (P<0.05). The sort results showed that health education was the most likely to be the best intervention (86.20%), followed by video consultation (74.10%). Conclusion Current evidence shows that the smoking cessation effects of health education, video counseling, telephone counseling, mobile phone text message and motivational interview. Among them, health education may be the best. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation: GUO Kangle, ZHOU Liying, YANG Chaoqun, SHANG Xue, E Fenfen, XU Meng, WU Yanan, YANG Kehu, LI Xiuxia. Efficacy of non-pharmacotherapy for smoking cessation: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2022, 22(11): 1256-1264. doi: 10.7507/1672-2531.202204109 Copy

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