This annual report - Taranaki District Health Board

Heckman CJ, et al. 2010. Efficacy of motivational interviewing for smoking cessation: a systematic review andmeta-analysis. Tobacco Control, 19(5), 410-16.This systematic review and meta-analysis of interventions incorporating motivational interviewing (MI) for smokingcessation identified 31 trials, including eight trials in adolescents. The meta-analysis of all 31 trials (9485 individualparticipants) showed an overall odds ratio (OR) comparing likelihood of abstinence in the MI versus control condition of1.45 (95% CI 1.14 to 1.83). For adolescents the OR for the MI effect was 2.29 (95% CI 1.34 to 3.89), suggesting thatcurrent MI smoking cessation approaches can be effective for adolescents.Sussman S & Sun P. 2009. Youth tobacco use cessation: 2008 update. Tobacco Induced Diseases, 5(1), 3.This updated review included 64 controlled trials assessing teen smoking cessation interventions. Meta-analysis foundan overall absolute advantage in quitting of 4.26% in intervention groups compared to control (an improvement in the2.90% absolute risk reduction, 95% CI 1.47 to 4.35, in the 2006 meta-analysis of 48 studies). Studies usingprogrammes based on social influences, cognitive-behavioural theory, or programming to enhance motivation weremore effective and the strongest effects were found in classroom-based educational programs, school-based clinics,and computer-based programmes. Programmes consisting of at least 5 sessions were more effective.Other Related Articles and ReviewsBrinson D. 2009. How to Increase the Delivery of Effective Smoking Cessation Treatments in Primary CareSettings: Guidance for doctors, nurses, other health professionals and healthcare organisations: SummaryReport. Wellington: Ministry of Health and HSAC, University of Canterbury. http://www.health.govt.nz/publication/howincrease-delivery-effective-smoking-cessation-treatments-primary-care-settingsThis report includes a review of evidence assessing the effectiveness of smoking cessation services in primary careand guidance on the delivery of ABC smoking cessation services in the primary care setting. The review includes fivesystematic reviews and 37 studies using a variety of methods to assess training, multi-component interventions,reminders, financial incentives and audit and feedback. The author suggests that the evidence supports acomprehensive package, including providing all health care professionals with adequate training and resources,implementation of a system to record smoking status, provision of prompts, feedback and incentives to health careprofessionals. There was some evidence to support a team approach, in which the different ABC tasks are sharedamongst different health professionals and organisations.National Institute for Health and Clinical Excellence. 2008. Smoking cessation services in primary care,pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women andhard to reach communities (NICE public health guidance 10). London: National Institute for Health and ClinicalExcellence. http://www.nice.org.uk/PH010.These guidelines provide a set of evidence-based recommendations for delivering smoking cessation services in hardto reach populations. The guidance includes a systematic review and cost-benefit analysis. Young people aged 12 to17 who show a commitment to quit smoking are identified as a target group. Information, advice and support should beoffered and NRT can be prescribed as part of a supervised regime if there is evidence of nicotine dependence.Note: The publications listed above were identified using the search methodology outlined in Appendix 1Tobacco Use in Young People - 225