Non-pharmacological interventions for tobacco cessation: A systematic review of existing practice and their effectiveness.

Autor: Saroj, Shyam Kanhaiya, Bhardwaj, Tushti
Předmět:
Zdroj: Monaldi Archives for Chest Disease; 2022, Vol. 92 Issue 4, p202-212, 11p
Abstrakt: Smoking tobacco is associated with lung cancer and other lifethreatening diseases which requires serious action to curb it. Tobacco cessation interventions are available as pharmacological and non-pharmacological methods or a combination of both. The present review examines the effectiveness of the existing nonpharmacological tobacco cessation interventions and synthesizes the result for the future development of drug-free treatment in the community for tobacco cessation. The literature search was conducted in August 2020, using two electronic databases (PubMed and JSTOR), with search terms: ['tobacco cessation' OR 'smoking cessation'] AND ['intervention'] which included studies published during 2010 and 2020 (till 31st July 2020). All studies were limited to English language, human participants and excluded patients with comorbidities. A total of 2,114 publications were retrieved out of which 11 articles were reviewed. On the basis of intervention used in reviewed studies, we categorized them into seven categories: i) incentive-based intervention; ii) exercise based; iii) telephone-based proactive counselling; iv) mobile phone SMS (Short Message Service) based; v) smartphone app (application) based; vi) web-based intervention, vii) self-help material. Incentives were provided in most of the studies to maintain the retention rate and motivate the participants for completing follow-up. Non-pharmacological interventions for tobacco cessation include a combination of various elements. Our findings suggest that behavioural counselling is one of the most important elements of any non-pharmacological intervention. In addition to behaviour counselling, yoga and exercises along with self-help material, video and phone counselling may have higher efficacy. Thus, practicing non-pharmacological interventions may also increase the cessation rate and reduce the tobacco use burden. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index