Real-time video counselling for smoking cessation.

摘要: BACKGROUND Real-time video communication software such as Skype and FaceTime transmits live audio over the Internet, allowing counsellors to provide support help people quit smoking. There are more than four billion Internet users worldwide, can download free software, rendering a counselling approach both feasible scalable for helping OBJECTIVES To assess effectiveness of real-time delivered individually or group in increasing smoking cessation, attempts, intervention adherence, satisfaction therapeutic alliance, an economic evaluation regarding counselling. SEARCH METHODS We searched Cochrane Tobacco Addiction Group Specialised Register, CENTRAL, MEDLINE, PubMed, PsycINFO Embase identify eligible studies on 13 August 2019. World Health Organization International Clinical Trials Registry Platform ClinicalTrials.gov ongoing trials registered by checked reference lists included articles contacted cessation researchers any additional studies. SELECTION CRITERIA randomised controlled (RCTs), trials, cluster RCTs current tobacco smokers from setting that measured at least six months following baseline. The could be compared with no control another intervention, both. DATA COLLECTION AND ANALYSIS Two authors independently extracted data assessed risk bias rated certainty evidence using GRADE approach. performed random-effects meta-analysis primary outcome most stringent measure longest follow-up. Analysis was based intention-to-treat principle. considered participants missing follow-up smokers. MAIN RESULTS two 615 participants. Both individually, telephone judged one study unclear high bias. statistically significant treatment effect (using strictest definition follow-up) across when (risk ratio (RR) 2.15, 95% confidence interval (CI) 0.38 12.04; 2 studies, 608 participants; I2 = 66%). overall very low due methodological limitations, imprecision estimate reflected wide CIs inconsistency rates. were differences between reported number attempts among who continued smoke (mean difference (MD) 0.50, CI -0.60 1.60; 1 study, 499 participants), mean sessions completed (MD -0.20, -0.45 0.05; 566 completion all (RR 1.13, 0.71 1.79; 43 participants) alliance -0.24 2.50; 398 participants). Participants arm likely their counterparts recommend programme friend family member 1.06, 1.01 1.11; participants); however, there between-group score 0.70, -1.16 2.56; 29 AUTHORS' CONCLUSIONS is little about cessation. existing research does not suggest assisting However, given rating limitations design, rates, results should interpreted cautiously. High-quality comparing needed increase estimate. Furthermore, currently group. Such determine whether increases