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Evidence from reviews of behavioural interventions

This review examines the effectiveness of behavioural support interventions, including modalities, providers, content, and target populations. It considers implications for future research and highlights the need for innovative approaches and evaluation methods.

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Evidence from reviews of behavioural interventions

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  1. Evidence from reviews of behavioural interventions Robert West University College London September 2008

  2. Aims • To review the effectiveness of behavioural support • modalities • providers • content • target populations • To consider implications for future research

  3. Behavioural support • Advice, encouragement and activities designed to: • maximise motivation to maintain abstinence e.g. using anticipated praise and shame; fostering sense of achievement • minimise motivation to smoke e.g. advising on stress reduction, avoiding high-risk situations • improve medication adherence e.g. explaining mechanism of action • enhance self-regulatory skills and capacity e.g. teaching strategies for resisting urges • in smokers seeking help with stopping

  4. Modes of delivery One-to-one face-to-face Group face to-face Telephone Types of provider Nurses Pharmacists Target populations Patient pre-operation Hospital inpatients Pregnant smokers Smokers in the workplace Intervention components Promoting physical exercise Hypnotherapy Use of biomarkers Relapse prevention Aversive smoking Enhancing partner support Competitions and incentives Cochrane reviews on behavioural support

  5. Review summaries + Good evidence for clinically significant effect +? Evidence suggestive of a clinically significant effect ? Insufficient evidence to draw a general conclusion -? Evidence suggestion of no clinically significant effect • Good evidence for no clinically significant effect

  6. Modes of delivery

  7. Types of provider

  8. Target populations

  9. Intervention components

  10. Conclusions • Clear evidence that behavioural support can be effective • delivered through a variety of modalities • by a variety of providers • with variety of target populations • but no clear evidence on how to improve on basic behavioural support • Need to build on this with innovative approaches and evaluation methods • Requires: • detailed information about intervention elements • taxonomy of intervention elements and link with theories

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