The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis
Introduction This systematic review and meta-analysis aimed to explore the existing tobacco interventions and synthesize whether those interventions affected tobacco use among university students. Methods We searched and found 1799 studies in PubMed, ClinicalKey for Nursing, Embase, and SCOPUS betw...
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| Format: | Article |
| Language: | English |
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European Publishing
2023-06-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/The-effectiveness-of-tobacco-cessation-programs-for-university-students-A-systematic,162001,0,2.html |
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| author | Kanyaphat Setchoduk Panan Pichayapinyo Punyarat Lapvongwatana Natkamol Chansatitporn |
| author_facet | Kanyaphat Setchoduk Panan Pichayapinyo Punyarat Lapvongwatana Natkamol Chansatitporn |
| author_sort | Kanyaphat Setchoduk |
| collection | DOAJ |
| description | Introduction
This systematic review and meta-analysis aimed to explore the existing
tobacco interventions and synthesize whether those interventions affected tobacco
use among university students.
Methods
We searched and found 1799 studies in PubMed, ClinicalKey for Nursing,
Embase, and SCOPUS between 2009 and 2022. The risk of bias was assessed
using similar criteria for RCT and non-randomized studies guided by the Cochrane
Handbook for Systematic Reviews. The heterogeneity of studies was evaluated
using Cochran’s Q and I 2 index. The GRADE system was used to distinguish the
quality of evidence, and Egger’s linear regression test was performed to assess
publication bias.
Results
Eighteen studies used data extraction and analyses, and only eleven
were meta-analyzed, which found that the estimate obtained via the fixedeffects
model was statistically significant. Technology-based and motivational
interview interventions found pooled ORs of statical significance, while reinforcer
interventions showed the smallest effect size. The level of heterogeneity was
considered substantial. The assessment for quality of evidence showed low overall
certainty of evidence due to imprecision of outcome and suspicion of publication
bias. Egger’s test showed no publication bias among included studies (p=0.38).
Conclusions
There were numerous tobacco cessation interventions for university
students, but the most effective intervention to change tobacco consumption
behavior was still inconclusive and uncertain.
TRIAL REGISTRATION
This systematic review was registered with PROSPERO. The registration number is CRD42019142491. |
| first_indexed | 2024-03-13T01:04:59Z |
| format | Article |
| id | doaj.art-8e925aeb910b4fc0ac51fc6a7976a237 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-13T01:04:59Z |
| publishDate | 2023-06-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-8e925aeb910b4fc0ac51fc6a7976a2372023-07-06T07:46:55ZengEuropean PublishingTobacco Induced Diseases1617-96252023-06-0121June11810.18332/tid/162001162001The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysisKanyaphat Setchoduk0https://orcid.org/0000-0002-0594-9237Panan Pichayapinyo1https://orcid.org/0000-0002-5320-5291Punyarat Lapvongwatana2https://orcid.org/0000-0002-3706-0491Natkamol Chansatitporn3https://orcid.org/0000-0001-7945-0941Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok, ThailandIntroduction This systematic review and meta-analysis aimed to explore the existing tobacco interventions and synthesize whether those interventions affected tobacco use among university students. Methods We searched and found 1799 studies in PubMed, ClinicalKey for Nursing, Embase, and SCOPUS between 2009 and 2022. The risk of bias was assessed using similar criteria for RCT and non-randomized studies guided by the Cochrane Handbook for Systematic Reviews. The heterogeneity of studies was evaluated using Cochran’s Q and I 2 index. The GRADE system was used to distinguish the quality of evidence, and Egger’s linear regression test was performed to assess publication bias. Results Eighteen studies used data extraction and analyses, and only eleven were meta-analyzed, which found that the estimate obtained via the fixedeffects model was statistically significant. Technology-based and motivational interview interventions found pooled ORs of statical significance, while reinforcer interventions showed the smallest effect size. The level of heterogeneity was considered substantial. The assessment for quality of evidence showed low overall certainty of evidence due to imprecision of outcome and suspicion of publication bias. Egger’s test showed no publication bias among included studies (p=0.38). Conclusions There were numerous tobacco cessation interventions for university students, but the most effective intervention to change tobacco consumption behavior was still inconclusive and uncertain. TRIAL REGISTRATION This systematic review was registered with PROSPERO. The registration number is CRD42019142491.http://www.tobaccoinduceddiseases.org/The-effectiveness-of-tobacco-cessation-programs-for-university-students-A-systematic,162001,0,2.htmlsystematic reviewmeta-analysistobacco cessationuniversity students |
| spellingShingle | Kanyaphat Setchoduk Panan Pichayapinyo Punyarat Lapvongwatana Natkamol Chansatitporn The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis Tobacco Induced Diseases systematic review meta-analysis tobacco cessation university students |
| title | The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis |
| title_full | The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis |
| title_fullStr | The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis |
| title_full_unstemmed | The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis |
| title_short | The effectiveness of tobacco cessation programs for university students: A systematic review and meta-analysis |
| title_sort | effectiveness of tobacco cessation programs for university students a systematic review and meta analysis |
| topic | systematic review meta-analysis tobacco cessation university students |
| url | http://www.tobaccoinduceddiseases.org/The-effectiveness-of-tobacco-cessation-programs-for-university-students-A-systematic,162001,0,2.html |
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