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Systematic review of the effectiveness of stage based interventions to promote smoking cessation

Riemsma, R.P., Pattenden, J., Bridle, C., Sowden, A.J., Mather, L., Watt, I.S. and Walker, A. (2003) Systematic review of the effectiveness of stage based interventions to promote smoking cessation. British Medical Journal, 326 (7400). pp. 1175-1177. ISSN 0959-8138

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To evaluate the effectiveness of interventions using a stage based approach in bringing about positive changes in smoking behaviour.


Systematic review.


35 electronic databases, catalogues, and internet resources (from inception to July 2002). Bibliographies of retrieved references were scanned for other relevant publications, and authors were contacted if necessary.


23 randomised controlled trials were reviewed; two reported details of an economic evaluation. Eight trials reported effects in favour of stage based interventions, three trials showed mixed results, and 12 trials found no statistically significant differences between a stage based intervention and a non-stage based intervention or no intervention. Eleven trials compared a stage based intervention with a non-stage based intervention, and one reported statistically significant effects in favour of the stage based intervention. Two studies reported mixed effects, and eight trials reported no statistically significant differences between groups. The methodological quality of the trials was mixed, and few reported any validation of the instrument used to assess participants' stage of change. Overall, the evidence suggests that stage based interventions are no more effective than non-stage based interventions or no intervention in changing smoking behaviour.


Limited evidence exists for the effectiveness of stage based interventions in changing smoking behaviour.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Centre for Reviews and Dissemination (York)
The University of York > Health Sciences (York)
Depositing User: York RAE Import
Date Deposited: 23 Jul 2009 11:50
Last Modified: 23 Jul 2009 11:50
Published Version: http://dx.doi.org/10.1136/bmj.326.7400.1175
Status: Published
Publisher: BMJ Publishing Group
Identification Number: 10.1136/bmj.326.7400.1175
URI: http://eprints.whiterose.ac.uk/id/eprint/5797

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