Identifying Active Ingredients, Working Mechanisms, and Fidelity Characteristics Reported in Smoking Cessation Interventions in Dutch Primary Care: A Systematic Review

Overview

Journal Nicotine Tob Res

Publisher Oxford University Press

Specialty Public Health

Date 2021 Nov 17

PMID 34788849

Citations 3

Authors

Dennis de Ruijter

Enrique Mergelsberg

Matty Crone

Eline Smit

Ciska Hoving

Affiliations

Soon will be listed here.

Abstract

Background: Evidence-based smoking cessation interventions provided by healthcare professionals can be successful in helping citizens to quit smoking. Yet, evidence is needed about the active ingredients of these interventions, how these ingredients work and how they are implemented in practice. Such knowledge is required to effectively support healthcare professionals to optimally put evidence-based smoking cessation interventions to (inter)national practice.

Objective: To identify active ingredients (including behavior change techniques), mechanisms of action and implementation fidelity reported in smoking cessation interventions in Dutch primary care settings and to relate these to intervention effectiveness.

Methods: A systematic review was conducted by searching nine national intervention or funding databases, five international scientific databases and consulting 17 national smoking cessation experts. Out of 1066 identified manuscripts, 40 interventions were eligible for this review. Based on published protocols, information regarding behavior change techniques and mechanisms of action was systematically abstracted. Additionally, information regarding study characteristics and other active ingredients, effects on smoking behavior and implementation fidelity was abstracted. Comparative effectiveness concerning abstracted intervention characteristics was qualitatively explored.

Results: Active ingredients, mechanisms of action and implementation fidelity were moderately to poorly reported. Interventions applying behavior change techniques and interventions with a single behavioral target (i.e. smoking-only versus multiple behaviors) seemed to provide stronger evidence for successfully changing smoking behavior.

Conclusion: Attention to and reporting on interventions' active ingredients (e.g. behavior change techniques), mechanisms of action and implementation fidelity are prerequisites for developing more effective evidence-based smoking cessation interventions to be successfully implemented in primary healthcare.

Implications: This systematic review provides an overview of smoking cessation interventions in Dutch primary care settings, identified since the year 2000. Smoking cessation support is offered in various forms, but our qualitative findings show that interventions including more behavior change techniques and interventions targeting only smoking cessation (compared to multiple behaviors) might be more effective. Results also show that-based on available intervention reports-it is difficult to distinguish patterns of active ingredients (such as behavior change techniques), mechanisms of action and fidelity of implementation in relation to interventions' effectiveness. This means (quality of) reporting on these intervention characteristics should improve.

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References

Smit E, Zeidler C, Resnicow K, de Vries H . Identifying the Most Autonomy-Supportive Message Frame in Digital Health Communication: A 2x2 Between-Subjects Experiment. J Med Internet Res. 2019; 21(10):e14074. PMC: 6914245. DOI: 10.2196/14074. View

Black N, Williams A, Javornik N, Scott C, Johnston M, Eisma M . Enhancing Behavior Change Technique Coding Methods: Identifying Behavioral Targets and Delivery Styles in Smoking Cessation Trials. Ann Behav Med. 2018; 53(6):583-591. PMC: 6499411. DOI: 10.1093/abm/kay068. View

Hummel K, Willemsen M, de Vries H, Monshouwer K, Nagelhout G . Social Acceptance of Smoking Restrictions During 10 Years of Policy Implementation, Reversal, and Reenactment in the Netherlands: Findings From a National Population Survey. Nicotine Tob Res. 2016; 19(2):231-238. DOI: 10.1093/ntr/ntw169. View

Cheung K, de Ruijter D, Hiligsmann M, Elfeddali I, Hoving C, Evers S . Exploring consensus on how to measure smoking cessation. A Delphi study. BMC Public Health. 2017; 17(1):890. PMC: 5696733. DOI: 10.1186/s12889-017-4902-7. View

Stanczyk N, Bolman C, van Adrichem M, Candel M, Muris J, de Vries H . Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. J Med Internet Res. 2014; 16(3):e69. PMC: 3961744. DOI: 10.2196/jmir.3016. View

Hagger M, Moyers S, McAnally K, McKinley L . Known knowns and known unknowns on behavior change interventions and mechanisms of action. Health Psychol Rev. 2020; 14(1):199-212. DOI: 10.1080/17437199.2020.1719184. View

Moore G, Audrey S, Barker M, Bond L, Bonell C, Hardeman W . Process evaluation of complex interventions: Medical Research Council guidance. BMJ. 2015; 350:h1258. PMC: 4366184. DOI: 10.1136/bmj.h1258. View

Walton H, Spector A, Tombor I, Michie S . Measures of fidelity of delivery of, and engagement with, complex, face-to-face health behaviour change interventions: A systematic review of measure quality. Br J Health Psychol. 2017; 22(4):872-903. PMC: 5655766. DOI: 10.1111/bjhp.12260. View

Li S, Jeffs L, Barwick M, Stevens B . Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review. Syst Rev. 2018; 7(1):72. PMC: 5936626. DOI: 10.1186/s13643-018-0734-5. View

10.

Hartmann-Boyce J, Hong B, Livingstone-Banks J, Wheat H, Fanshawe T . Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation. Cochrane Database Syst Rev. 2019; 6():CD009670. PMC: 6549450. DOI: 10.1002/14651858.CD009670.pub4. View

11.

Glasgow R, Vogt T, Boles S . Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89(9):1322-7. PMC: 1508772. DOI: 10.2105/ajph.89.9.1322. View

12.

Stead L, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T . Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013; (5):CD000165. PMC: 7064045. DOI: 10.1002/14651858.CD000165.pub4. View

13.

Warner K, Burns D . Hardening and the hard-core smoker: concepts, evidence, and implications. Nicotine Tob Res. 2003; 5(1):37-48. DOI: 10.1080/1462220021000060428. View

14.

de Ruijter D, Candel M, Smit E, de Vries H, Hoving C . The Effectiveness of a Computer-Tailored E-Learning Program for Practice Nurses to Improve Their Adherence to Smoking Cessation Counseling Guidelines: Randomized Controlled Trial. J Med Internet Res. 2018; 20(5):e193. PMC: 5989061. DOI: 10.2196/jmir.9276. View

15.

Black N, Johnston M, Michie S, Hartmann-Boyce J, West R, Viechtbauer W . Behaviour change techniques associated with smoking cessation in intervention and comparator groups of randomized controlled trials: a systematic review and meta-regression. Addiction. 2020; 115(11):2008-2020. DOI: 10.1111/add.15056. View

16.

de Vries H, Bakker M, Mullen P, van Breukelen G . The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners. Patient Educ Couns. 2006; 63(1-2):177-87. DOI: 10.1016/j.pec.2005.10.002. View

17.

Michie S, Churchill S, West R . Identifying evidence-based competences required to deliver behavioural support for smoking cessation. Ann Behav Med. 2010; 41(1):59-70. DOI: 10.1007/s12160-010-9235-z. View

18.

West R, Hajek P, Stead L, Stapleton J . Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction. 2005; 100(3):299-303. DOI: 10.1111/j.1360-0443.2004.00995.x. View

19.

Michie S, Hyder N, Walia A, West R . Development of a taxonomy of behaviour change techniques used in individual behavioural support for smoking cessation. Addict Behav. 2011; 36(4):315-9. DOI: 10.1016/j.addbeh.2010.11.016. View

20.

Verbiest M, Brakema E, van der Kleij R, Sheals K, Allistone G, Williams S . National guidelines for smoking cessation in primary care: a literature review and evidence analysis. NPJ Prim Care Respir Med. 2017; 27(1):2. PMC: 5434788. DOI: 10.1038/s41533-016-0004-8. View