Premium
Effective behaviour change techniques in smoking cessation interventions for people with chronic obstructive pulmonary disease: A meta‐analysis
Author(s) -
Bartlett Yvonne K.,
Sheeran Paschal,
Hawley Mark S.
Publication year - 2014
Publication title -
british journal of health psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.05
H-Index - 88
eISSN - 2044-8287
pISSN - 1359-107X
DOI - 10.1111/bjhp.12071
Subject(s) - medicine , smoking cessation , copd , randomized controlled trial , psychological intervention , cinahl , meta analysis , physical therapy , pulmonary disease , sample size determination , medline , behavior change methods , psychiatry , pathology , statistics , mathematics , political science , law
Purpose The purpose of this study was to identify the behaviour change techniques ( BCT s) that are associated with greater effectiveness in smoking cessation interventions for people with chronic obstructive pulmonary disease ( COPD ). Methods A systematic review and meta‐analysis was conducted. Web of K nowledge, CINAHL , EMBASE , P syc INFO , and MEDLINE were searched from the earliest date available to D ecember 2012. Data were extracted and weighted average effect sizes calculated; BCT s used were coded according to an existing smoking cessation‐specific BCT taxonomy. Results Seventeen randomized controlled trials ( RCT s) were identified that involved a total sample of 7446 people with COPD . The sample‐weighted mean quit rate for all RCT s was 13.19%, and the overall sample‐weighted effect size was d + = 0.33. Thirty‐seven BCT s were each used in at least three interventions. Four techniques were associated with significantly larger effect sizes: Facilitate action planning/develop treatment plan , Prompt self‐recording , Advise on methods of weight control , and Advise on/facilitate use of social support . Three new COPD ‐specific BCT s were identified, and Linking COPD and smoking was found to result in significantly larger effect sizes. Conclusions Smoking cessation interventions aimed at people with COPD appear to benefit from using techniques focussed on forming detailed plans and self‐monitoring. Additional RCT s that use standardized reporting of intervention components and BCT s would be valuable to corroborate findings from the present meta‐analysis. Statement of contribution What is already known on this subject? Chronic obstructive pulmonary disease ( COPD ) is responsible for considerable health and economic burden worldwide, and smoking cessation ( SC ) is the only known treatment that can slow the decline in lung function experienced. Previous reviews of smoking cessation interventions for this population have established that a combination of pharmacological support and behavioural counselling is most effective. While pharmacological support has been detailed, and effectiveness ranked, the content of behavioural counselling varies between interventions, and it is not clear what the most effective components are. What does this study add? Detailed description of ‘behavioural counselling’ component of SC interventions for people with COPD . Meta‐analysis to identify effective behaviour change techniques tailored for this population. Discussion of these findings in the context of designing tailored SC interventions.