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An Integrative Review of Adolescent Smoking Cessation Using the Transtheoretical Model of Change
Authors:Lisa M Robinson  Sara R Vail
Institution:1. Centre for Intervention Research, National Institute of Public Health, University of Southern Denmark, Oester Farimagsgade 5A, 2., 1353 Copenhagen, Denmark;2. Department of Cancer Prevention and Documentation, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark;3. National Institute of Public Health, University of Southern Denmark, Oester Farimagsgade 5A, 2., 1353 Copenhagen, Denmark;1. Child and Adolescent Studies, Utrecht University, 3508 TC Utrecht, The Netherlands;2. Behavioural Science Institute, Radboud University Nijmegen, 6500 HE Nijmegen, The Netherlands;1. Cancer Prevention Research Center, University of Rhode Island, Kingston, RI, United States;2. Department of Kinesiology, University of Rhode Island, Kingston, RI, United States
Abstract:IntroductionThe purpose of this literature review is to report the effectiveness of trials using the Transtheoretical Model of Change for achieving smoking cessation among adolescents.MethodAn integrative literature review was performed. Two reviewers searched the Internet for randomized, controlled trials or observational studies of adolescent smoking cessation trials reported between 1999 and June 2009 that used the Transtheoretical Model of Change.ResultsSix randomized controlled trials remained after all inclusion and exclusion criteria were met. Each study was reviewed qualitatively and odds ratio and quit rates were calculated. Four studies demonstrated an odds ratio of greater than 1.0, and in four studies significantly better quit rates were found in the intervention arm versus the control arm at the endpoint evaluation.DiscussionEvidence exists for the effectiveness of stage-based interventions in promoting smoking cessation in adolescents.
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