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            "title": "Salutogenesis as a framework for child protection: literature review",
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            "abstractNote": "<AbstractText Label=\"AIM\" NlmCategory=\"OBJECTIVE\">The aim of this paper is to demonstrate the usefulness of salutogenesis in work relating to child protection.</AbstractText>\n<AbstractText Label=\"METHODS\" NlmCategory=\"METHODS\">A systematic review to explore the links between parenting, social factors and failure to thrive was carried out using 17 CD ROM and online databases using keywords in appropriate medical subject headings (MeSH terms) and Boolean operators refined for the studies. The salutogenic framework was then used as a way of clarifying what benefit particular research findings may have in identifying and using factors which can be associated with protection, safety and well being of children. Cross-referencing the evidence from the systematic review against Antonovsky's generalized resistance resources created a salutogenic matrix.</AbstractText>\n<AbstractText Label=\"FINDINGS\" NlmCategory=\"RESULTS\">Four factors in the systematic review were found crucially important: parent factors; parenting factors; child factors; and social factors. However, it is probable that these are useful within all child protection research and the evidence gathered in particular cases (here failure to thrive) could be plotted against each factor. Application of a salutogenic framework to the results was further illuminating and has utility for both systematic review methodology and other child protection explorations. The matrix created a warp and weft effect that identified gaps in current evidence and practice and was able to disentangle some of the complexities inherent within failure to thrive situations. By beginning to shed understanding on such processes, the concept of salutogenesis added further depth and rigour to the analysis.</AbstractText>\n<AbstractText Label=\"CONCLUSIONS\" NlmCategory=\"CONCLUSIONS\">The concept of salutogenesis is widely used in some areas of nursing practice and research, and can also be regarded as a theoretical tool that has potential in child care and protection research, development and practice. The paper also illustrates the importance of a sound theoretical framework in ensuring depth and rigour in analyses of literature review findings.</AbstractText>",
            "publicationTitle": "Journal of Advanced Nursing",
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            "title": "Nicotine replacement therapy for smoking cessation",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "L F",
                    "lastName": "Stead"
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                {
                    "creatorType": "author",
                    "firstName": "R",
                    "lastName": "Perera"
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                    "firstName": "C",
                    "lastName": "Bullen"
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                    "lastName": "Mant"
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                    "lastName": "Lancaster"
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            "abstractNote": "<AbstractText Label=\"BACKGROUND\" NlmCategory=\"BACKGROUND\">The aim of nicotine replacement therapy (NRT) is temporarily to replace much of the nicotine from cigarettes to reduce motivation to smoke and nicotine withdrawal symptoms, thus easing the transition from cigarette smoking to complete abstinence.</AbstractText>\n<AbstractText Label=\"OBJECTIVES\" NlmCategory=\"OBJECTIVE\">The aims of this review were:To determine the effect of NRT compared to placebo in aiding smoking cessation, and to consider whether there is a difference in effect for the different forms of NRT (chewing gum, transdermal patches, nasal spray, inhalers and tablets/lozenges) in achieving abstinence from cigarettes. To determine whether the effect is influenced by the dosage, form and timing of use of NRT; the intensity of additional advice and support offered to the smoker; or the clinical setting in which the smoker is recruited and treated. To determine whether combinations of NRT are more likely to lead to successful quitting than one type alone. To determine whether NRT is more or less likely to lead to successful quitting compared to other pharmacotherapies.</AbstractText>\n<AbstractText Label=\"SEARCH STRATEGY\" NlmCategory=\"METHODS\">We searched the Cochrane Tobacco Addiction Group trials register for papers with 'nicotine' or 'NRT' in the title, abstract or keywords. Date of most recent search July 2007.</AbstractText>\n<AbstractText Label=\"SELECTION CRITERIA\" NlmCategory=\"METHODS\">Randomized trials in which NRT was compared to placebo or to no treatment, or where different doses of NRT were compared. We excluded trials which did not report cessation rates, and those with follow up of less than six months.</AbstractText>\n<AbstractText Label=\"DATA COLLECTION AND ANALYSIS\" NlmCategory=\"METHODS\">We extracted data in duplicate on the type of participants, the dose, duration and form of nicotine therapy, the outcome measures, method of randomization, and completeness of follow up. The main outcome measure was abstinence from smoking after at least six months of follow up. We used the most rigorous definition of abstinence for each trial, and biochemically validated rates if available. We calculated the risk ratio (RR) for each study. Where appropriate, we performed meta-analysis using a Mantel-Haenszel fixed-effect model.</AbstractText>\n<AbstractText Label=\"MAIN RESULTS\" NlmCategory=\"RESULTS\">We identified 132 trials; 111 with over 40,000 participants contributed to the primary comparison between any type of NRT and a placebo or non-NRT control group. The RR of abstinence for any form of NRT relative to control was 1.58 (95% confidence interval [CI]: 1.50 to 1.66). The pooled RR for each type were 1.43 (95% CI: 1.33 to 1.53, 53 trials) for nicotine gum; 1.66 (95% CI: 1.53 to 1.81, 41 trials) for nicotine patch; 1.90 (95% CI: 1.36 to 2.67, 4 trials) for nicotine inhaler; 2.00 (95% CI: 1.63 to 2.45, 6 trials) for oral tablets/lozenges; and 2.02 (95% CI: 1.49 to 3.73, 4 trials) for nicotine nasal spray. The effects were largely independent of the duration of therapy, the intensity of additional support provided or the setting in which the NRT was offered. The effect was similar in a small group of studies that aimed to assess use of NRT obtained without a prescription. In highly dependent smokers there was a significant benefit of 4 mg gum compared with 2 mg gum, but weaker evidence of a benefit from higher doses of patch. There was evidence that combining a nicotine patch with a rapid delivery form of NRT was more effective than a single type of NRT. Only one study directly compared NRT to another pharmacotherapy. In this study quit rates with nicotine patch were lower than with the antidepressant bupropion.</AbstractText>\n<AbstractText Label=\"AUTHORS' CONCLUSIONS\" NlmCategory=\"CONCLUSIONS\">All of the commercially available forms of NRT (gum, transdermal patch, nasal spray, inhaler and sublingual tablets/lozenges) can help people who make a quit attempt to increase their chances of successfully stopping smoking. NRTs increase the rate of quitting by 50-70%, regardless of setting. The effectiveness of NRT appears to be largely independent of the intensity of additional support provided to the individual. Provision of more intense levels of support, although beneficial in facilitating the likelihood of quitting, is not essential to the success of NRT.</AbstractText>",
            "publicationTitle": "Cochrane Database of Systematic Reviews (Online)",
            "publisher": "",
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            "pages": "CD000146",
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                    "tag": "Randomized Controlled Trials as Topic"
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            "abstractNote": "Developmental assets provide the positive building blocks young people need for success. In this article, based on a keynote address to attendees at the 1998 American School Health Association annual conference, research is discussed that suggests building specific developmental assets relates to lowered risk behavior patterns and increased patterns of thriving behavior among an aggregate sample of nearly 100,000, 6th-12th grade youth in 213 US communities. Issues related to the scientific foundations, reliability, and validity of the development assets framework are discussed. The contribution that building youth's developmental assets makes toward their well-being is presented as both a unique component of a healthy community and a necessary complement to risk reduction and treatment strategies.",
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                {
                    "tag": "Child"
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                {
                    "tag": "Female"
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                {
                    "tag": "Health Promotion"
                },
                {
                    "tag": "Human Development"
                },
                {
                    "tag": "Humans"
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                    "tag": "Male"
                },
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                    "tag": "Models, Psychological"
                },
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            "title": "Assets for policy making in health promotion: overcoming political barriers inhibiting women in difficult life situations to access sport facilities",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Alfred",
                    "lastName": "Rütten"
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                    "creatorType": "author",
                    "firstName": "Karim",
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                    "firstName": "Antony",
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            "abstractNote": "Although the need for intersectoral policy making in health promotion has been commonplace and a high priority for several decades, there is still a lack of appropriate methods available to assess the inputs, processes, and outcomes associated with the effectiveness of such approaches, particularly in relation to sectors outside of health. This paper demonstrates how asset based models to intersectoral policy making in health promotion can improve the effectiveness of projects aiming to improve health and related outcomes. In particular, it summarises how asset based approaches to the planning and implementation of health promotion programmes can be used to develop our methods for assessing intersectorial actions. The paper is based on the findings from a local neighbourhood project based in Erlangen, Germany, aiming to improve the opportunities for physical activity among women in difficult life situations. The neighbourhood was characterised by high rates of unemployment, social welfare recipients, and migrants. Ethnographic methods enabled us to highlight the range of health related assets available in the neighbourhood which could be activated to improve access to and uptake of physical activity amongst the target population. Results indicate that intersectoral policies seeking to improve health outcomes, are more likely to be successful if they maximise the opportunities for making the most of the assets that exist in individuals, communities and organisations. This study demonstrates how the asset model was used to create the supportive environments which facilitated women from the target population to work with policy makers on an equal footing. Their involvement in project planning and implementation helped to achieve the structural changes required to achieve the aims of the project. These included the establishment of a new job position at the city office for sports and improved access to sport facilities for women in difficult life situations.",
            "publicationTitle": "Social Science & Medicine (1982)",
            "publisher": "",
            "place": "",
            "date": "Diciembre 2009",
            "volume": "69",
            "issue": "11",
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            "pages": "1667–1673",
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            "DOI": "10.1016/j.socscimed.2009.09.012",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/19800160",
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                    "tag": "Exercise"
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                {
                    "tag": "Female"
                },
                {
                    "tag": "Germany"
                },
                {
                    "tag": "Health Promotion"
                },
                {
                    "tag": "Humans"
                },
                {
                    "tag": "Policy Making"
                },
                {
                    "tag": "Politics"
                },
                {
                    "tag": "Program Evaluation"
                },
                {
                    "tag": "Residence Characteristics"
                },
                {
                    "tag": "Social Support"
                },
                {
                    "tag": "Social Welfare"
                },
                {
                    "tag": "Sports"
                },
                {
                    "tag": "Transients and Migrants"
                },
                {
                    "tag": "Unemployment"
                },
                {
                    "tag": "Women's Health"
                }
            ],
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            "itemType": "journalArticle",
            "title": "Health assets: A concept analysis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Ann Kristin",
                    "lastName": "Roteg\\aa rd"
                },
                {
                    "creatorType": "author",
                    "firstName": "Shirley M.",
                    "lastName": "Moore"
                },
                {
                    "creatorType": "author",
                    "firstName": "May Solveig",
                    "lastName": "Fagermoen"
                },
                {
                    "creatorType": "author",
                    "firstName": "Cornelia M.",
                    "lastName": "Ruland"
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            ],
            "abstractNote": "Purpose Traditionally, nursing care has focused primarily on patients' problems and to solve these problems on behalf of the patient. However, with the growing focus in health care on patient-centered care, self-management of illness, and patient empowerment, the problem-oriented approach to nursing care is no longer sufficient. Assessing and strengthening patients' health assets has evolved into a complementary approach to problem-focused care, helping patients achieve and maintain their health and wellness. This requires a clear definition of the concept of health assets and a better understanding of their role in overall health and wellness. The purpose of this paper was to examine the concept of health assets, including its attributes, associated concepts, and application in a health care context.Methods We systematically reviewed 60 journal articles and Web documents dated from 1966 through March 2007. Data were then analyzed using Rodger's evolutionary method of concept analysis.Results The health assets concept has not been widely used in health care. However, use has increased during recent years within multiple disciplines, including psychology, psychiatry, nursing, medicine, social sciences, and public health. This concept analysis identified core attributes of health assets to be potentials in the individuals' possession. The core attributes embraces relational, motivational, protective, and volitional strengths, which are internal; and support, expectations of others, and physical and environmental elements, which are external. The antecedents of health assets are genes, values, beliefs, and life experiences. Health assets mobilize an individual to engage in deliberation, decision making, and change. Consequences of health assets are positive health behaviors that can lead to mastery, self-actualization, and improved health outcomes. We propose both a definition of health assets and a descriptive model of its components and relationships.Conclusion Focusing nursing care on a person's health assets, as a complement to the traditional approach of addressing a person's health problems, may contribute to improved health behavior and outcomes. Health assets should, therefore, receive greater attention in nursing practice, education, and research.",
            "publicationTitle": "International Journal of Nursing Studies",
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            "place": "",
            "date": "Abril 2010",
            "volume": "47",
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            "title": "Análisis del modelo salutogénico en España: aplicación en salud pública e implicaciones para el modelo de activos en salud.",
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            "itemType": "journalArticle",
            "title": "Nursing interventions for smoking cessation",
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            "abstractNote": "<AbstractText Label=\"BACKGROUND\" NlmCategory=\"BACKGROUND\">Healthcare professionals, including nurses, frequently advise patients to improve their health by stopping smoking. Such advice may be brief, or part of more intensive interventions.</AbstractText>\n<AbstractText Label=\"OBJECTIVES\" NlmCategory=\"OBJECTIVE\">To determine the effectiveness of nursing-delivered smoking cessation interventions.</AbstractText>\n<AbstractText Label=\"SEARCH STRATEGY\" NlmCategory=\"METHODS\">We searched the Cochrane Tobacco Addiction Group specialized register and CINAHL in July 2007.</AbstractText>\n<AbstractText Label=\"SELECTION CRITERIA\" NlmCategory=\"METHODS\">Randomized trials of smoking cessation interventions delivered by nurses or health visitors with follow up of at least six months.</AbstractText>\n<AbstractText Label=\"DATA COLLECTION AND ANALYSIS\" NlmCategory=\"METHODS\">Two authors extracted data independently. The main outcome measure was abstinence from smoking after at least six months of follow up. We used the most rigorous definition of abstinence for each trial, and biochemically validated rates if available. Where statistically and clinically appropriate, we pooled studies using a Mantel-Haenszel fixed effect model and reported the outcome as a risk ratio (RR) with 95% confidence interval (CI).</AbstractText>\n<AbstractText Label=\"MAIN RESULTS\" NlmCategory=\"RESULTS\">Forty-two studies met the inclusion criteria. Thirty-one studies comparing a nursing intervention to a control or to usual care found the intervention to significantly increase the likelihood of quitting (RR 1.28, 95% CI 1.18 to 1.38). There was heterogeneity among the study results, but pooling using a random effects model did not alter the estimate of a statistically significant effect. In a subgroup analysis there was weaker evidence that lower intensity interventions were effective (RR 1.27, 95% CI 0.99 to 1.62). There was limited indirect evidence that interventions were more effective for hospital inpatients with cardiovascular disease than for inpatients with other conditions. Interventions in non-hospitalized patients also showed evidence of benefit. Nine studies comparing different nurse-delivered interventions failed to detect significant benefit from using additional components. Five studies of nurse counselling on smoking cessation during a screening health check, or as part of multifactorial secondary prevention in general practice (not included in the main meta-analysis) found nursing intervention to have less effect under these conditions.</AbstractText>\n<AbstractText Label=\"AUTHORS' CONCLUSIONS\" NlmCategory=\"CONCLUSIONS\">The results indicate the potential benefits of smoking cessation advice and/or counselling given by nurses to patients, with reasonable evidence that intervention is effective. The evidence of an effect is weaker when interventions are brief and are provided by nurses whose main role is not health promotion or smoking cessation. The challenge will be to incorporate smoking behaviour monitoring and smoking cessation interventions as part of standard practice, so that all patients are given an opportunity to be asked about their tobacco use and to be given advice and/or counselling to quit along with reinforcement and follow up.</AbstractText>",
            "publicationTitle": "Cochrane Database of Systematic Reviews (Online)",
            "publisher": "",
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            "date": "2008",
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            "pages": "CD001188",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/18253987",
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                {
                    "tag": "Randomized Controlled Trials as Topic"
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            "title": "[Reasons for attending emergency departments. People speak out]",
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                    "creatorType": "author",
                    "firstName": "M Isabel",
                    "lastName": "Pasarín"
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                {
                    "creatorType": "author",
                    "firstName": "M José",
                    "lastName": "Fernández de Sanmamed"
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                {
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                    "firstName": "Joana",
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                    "creatorType": "author",
                    "firstName": "Carme",
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                {
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                    "firstName": "Dolors",
                    "lastName": "Rodríguez"
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                    "creatorType": "author",
                    "firstName": "Salvador",
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                    "firstName": "Alex",
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                {
                    "creatorType": "author",
                    "firstName": "Antoni",
                    "lastName": "Plasència"
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            ],
            "abstractNote": "OBJECTIVE: To ascertain why people attend hospital emergency departments (ED) for low complexity health problems. METHOD: A phenomenological, interactionist, qualitative study was performed. A theoretical sample that selected one urban and one rural area from Catalonia (Spain) was designed. In each setting, persons (n = 36) who had used the ED or a primary care emergency service 1 month before the beginning of the study were chosen. Data were obtained through 8 focus groups. An interpretative content analysis was performed, and emergent categories were constructed through research triangulation. RESULTS: Five categories emerged: symptoms, whether or not self-diagnosis was involved, perception of needs, awareness of the health services available, and the overall context of the person. Symptoms generated feelings of failing health and thus initiated care seeking. Self-diagnosis determined perceived need and the type of care sought. People contrasted their self-perception of need with their own opinion about the health services available. The decision to go to one or other service was made as a result of this contrast, but the individual's family, work, and social situations also played a part. Informants were more familiar with the service provided by the ED than with that provided by primary care. Time consumption also figured heavily in decision making. CONCLUSIONS: The presence or absence of self-diagnosis is a determining factor in attendance at EDs. Other factors that influence demand are the level of awareness of the health services available, previous experiences, and the life situation of the individual.",
            "publicationTitle": "Gaceta Sanitaria / S.E.S.P.A.S",
            "publisher": "",
            "place": "",
            "date": "2006 Mar-Apr",
            "volume": "20",
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            "pages": "91-99",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/16753084",
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            "callNumber": "0000",
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            "tags": [
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            "version": 811,
            "itemType": "journalArticle",
            "title": "Interventions for preventing weight gain after smoking cessation",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Amanda C",
                    "lastName": "Parsons"
                },
                {
                    "creatorType": "author",
                    "firstName": "Mujahed",
                    "lastName": "Shraim"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jennie",
                    "lastName": "Inglis"
                },
                {
                    "creatorType": "author",
                    "firstName": "Paul",
                    "lastName": "Aveyard"
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                {
                    "creatorType": "author",
                    "firstName": "Peter",
                    "lastName": "Hajek"
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            ],
            "abstractNote": "<AbstractText Label=\"BACKGROUND\" NlmCategory=\"BACKGROUND\">Most people who stop smoking gain weight, on average about 7 kg in the long term. There are some interventions that have been specifically designed to tackle smoking cessation whilst also limiting weight gain. Many smoking cessation pharmacotherapies and other interventions may also limit weight gain.</AbstractText>\n<AbstractText Label=\"OBJECTIVES\" NlmCategory=\"OBJECTIVE\">This review is divided into two parts. (1) Interventions designed specifically to aid smoking cessation and limit post-cessation weight gain (2) Interventions designed to aid smoking cessation that may also plausibly have an effect on weight</AbstractText>\n<AbstractText Label=\"SEARCH STRATEGY\" NlmCategory=\"METHODS\">Part 1: We searched the Cochrane Tobacco Addiction Group's Specialized Register which includes trials indexed in MEDLINE, EMBASE, SciSearch and PsycINFO, and other reviews and conference abstracts. Part 2: We searched the included studies of Cochrane smoking cessation reviews of nicotine replacement therapy, antidepressants, nicotine receptor partial agonists, cannabinoid type 1 receptor antagonists (rimonabant), and exercise interventions, published in Issue 4, 2008 of The Cochrane Library.</AbstractText>\n<AbstractText Label=\"SELECTION CRITERIA\" NlmCategory=\"METHODS\">Part 1: We included trials of interventions designed specifically to address both smoking cessation and post-cessation weight gain that had measured weight at any follow-up point and/or smoking six months or more after quitting.Part 2: We included trials from the selected Cochrane reviews that could plausibly modify post-cessation weight gain if they had reported weight gain by trial arm at end of treatment or later.</AbstractText>\n<AbstractText Label=\"DATA COLLECTION AND ANALYSIS\" NlmCategory=\"METHODS\">We extracted data in duplicate on smoking and weight for part 1 trials, and on weight only for part 2. Abstinence from smoking is expressed as a risk ratio (RR), using the most rigorous definition of abstinence available in each trial, and biochemically validated rates if available. The outcome is expressed as the difference in weight change between trial arms from baseline. Where appropriate, we performed meta-analysis using the Mantel-Haenszel method for smoking and inverse variance for weight using a fixed-effect model.</AbstractText>\n<AbstractText Label=\"MAIN RESULTS\" NlmCategory=\"RESULTS\">We found evidence that pharmacological interventions aimed at reducing post-cessation weight gain resulted in a significant reduction in weight gain at the end of treatment (dexfenfluramine (-2.50kg [-2.98kg to -2.02kg], fluoxetine (-0.80kg [-1.27kg to -0.33kg], phenylpropanolamine (PPA) (-0.50kg [-0.80kg to -0.20kg], naltrexone (-0.76kg [-1.51kg to -0.01kg])). No evidence of maintenance of the treatment effect was found at six or 12 months.Among the behavioural interventions, only weight control advice was associated with no reduction in weight gain and with a possible reduction in abstinence. Individualized programmes were associated with reduced weight gain at end of treatment and at 12 months (-2.58kg [-5.11kg to -0.05kg]), and with no effect on abstinence (RR 0.74 [0.39 to 1.43]). Very low calorie diets (-1.30kg (-3.49kg to 0.89kg] at 12 months) and cognitive behavioural therapy (CBT) (-5.20kg (-9.28kg to -1.12kg] at 12 months) were both associated with improved abstinence and reduced weight gain at end of treatment and at long-term follow up.Both bupropion (300mg/day) and fluoxetine (30mg and 60mg/day combined) were found to limit post-cessation weight gain at the end of treatment (-0.76kg [-1.17kg to -0.35kg] I(2)=48%) and -1.30kg [-1.91kg to -0.69kg]) respectively. There was no evidence that the weight reducing effect of bupropion was dose-dependent. The effect of bupropion at one year was smaller and confidence intervals included no effect (-0.38kg [-2.001kg to 1.24kg]).We found no evidence that exercise interventions significantly reduced post-cessation weight gain at end of treatment but evidence for an effect at 12 months (-2.07kg [-3.78kg, -0.36kg]).Treatment with NRT resulted in attenuation of post-cessation weight gain (-0.45kg [-0.70kg, -0.20kg]) at the end of treatment, with no evidence that the effect differed for different forms of NRT. The estimated weight gain reduction was similar at 12 months (-0.42kg [-0.92kg, 0.08kg]) but the confidence intervals included no effect.There were no relevant data on the effect of rimonabant on weight gain.We found no evidence that varenicline significantly reduced post-cessation weight gain at end of treatment and no follow-up data are currently available. One study randomizing successful quitters to 12 more weeks of active treatment showed weight to be reduced by 0.71kg (-1.04kg to -0.38kg). In three studies, participants taking bupropion gained significantly less weight at the end of treatment than those on varenicline (-0.51kg [-0.93kg to -0.09kg]).</AbstractText>\n<AbstractText Label=\"AUTHORS' CONCLUSIONS\" NlmCategory=\"CONCLUSIONS\">Behavioural interventions of general advice only are not effective and may reduce abstinence. Individualized interventions, very low calorie diets, and CBT may be effective and not reduce abstinence. Exercise interventions are not associated with reduced weight gain at end of treatment, but may be associated with worthwhile reductions in weight gain in the long term, Bupropion, fluoxetine, nicotine replacement therapy, and probably varenicline all reduced weight gain while being used. Although this effect was not maintained one year after quitting for bupropion, fluoxetine, and nicotine replacement, the evidence is insufficient to exclude a modest long-term effect. The data are not sufficient to make strong clinical recommendations for effective programmes.</AbstractText>",
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            "pages": "CD006219",
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            "journalAbbreviation": "Cochrane Database Syst Rev",
            "DOI": "10.1002/14651858.CD006219.pub2",
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            "url": "http://www.ncbi.nlm.nih.gov/pubmed/19160269",
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                    "tag": "Antidepressive Agents"
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                {
                    "tag": "Benzazepines"
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                    "tag": "Exercise"
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                {
                    "tag": "Female"
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                {
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                {
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                    "tag": "Nicotine"
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                {
                    "tag": "Nicotinic Agonists"
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                {
                    "tag": "Piperidines"
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                {
                    "tag": "Pyrazoles"
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                {
                    "tag": "Quinoxalines"
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                    "tag": "Smoking Cessation"
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                    "firstName": "Douglas Tc",
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            "abstractNote": "<AbstractText Label=\"BACKGROUND\" NlmCategory=\"BACKGROUND\">Motivational Interviewing (MI) is a directive patient-centred style of counselling, designed to help people to explore and resolve ambivalence about behaviour change. It was developed as a treatment for alcohol abuse, but may help smokers to a make a successful attempt to quit.</AbstractText>\n<AbstractText Label=\"OBJECTIVES\" NlmCategory=\"OBJECTIVE\">To determine the effects of motivational interviewing in promoting smoking cessation.</AbstractText>\n<AbstractText Label=\"SEARCH STRATEGY\" NlmCategory=\"METHODS\">We searched the Cochrane Tobacco Addiction Group Specialized Register for studies with terms (motivational OR motivation OR motivating OR motivate OR behavi* OR motivat*) and (interview* OR session* OR counsel* OR practi*) in the title or abstract, or as keywords. Date of the most recent search: April 2009.</AbstractText>\n<AbstractText Label=\"SELECTION CRITERIA\" NlmCategory=\"METHODS\">Randomized controlled trials in which motivational interviewing or its variants were offered to smokers to assist smoking cessation.</AbstractText>\n<AbstractText Label=\"DATA COLLECTION AND ANALYSIS\" NlmCategory=\"METHODS\">We extracted data in duplicate. The main outcome measure was abstinence from smoking after at least six months follow up. We used the most rigorous definition of abstinence in each trial, and biochemically validated rates where available. Subjects lost to follow up were treated as continuing smokers. We performed meta-analysis using a fixed-effect Mantel-Haenszel model.</AbstractText>\n<AbstractText Label=\"MAIN RESULTS\" NlmCategory=\"RESULTS\">We identified 14 studies published between 1997 and 2008, involving over 10,000 smokers. Trials were conducted in one to four sessions, with the duration of each session ranging from 15 to 45 minutes. All but two of the trials used supportive telephone contacts, and supplemented the counselling with self-help materials. MI was generally compared with brief advice or usual care in the trials. Interventions were delivered by primary care physicians, hospital clinicians, nurses or counsellors. Our meta-analysis of MI versus brief advice or usual care yielded a modest but significant increase in quitting (RR 1.27; 95% CI 1.14 to 1.42). Subgroup analyses suggested that MI was effective when delivered by primary care physicians (RR 3.49; 95% CI 1.53 to 7.94) and by counsellors (RR 1.27; 95% CI 1.12 to 1.43), and when it was conducted in longer sessions (more than 20 minutes per session) (RR 1.31; 95% CI 1.16 to 1.49). Multiple session treatments may be slightly more effective than single sessions, but both regimens produced positive outcomes. Evidence is unclear at present on the optimal number of follow-up calls.There was variation across the trials in treatment fidelity. All trials used some variant of motivational interviewing.Critical details in how it was modified for the particular study population, the training of therapists and the content of the counselling were sometimes lacking from trial reports.</AbstractText>\n<AbstractText Label=\"AUTHORS' CONCLUSIONS\" NlmCategory=\"CONCLUSIONS\">Motivational interviewing may assist smokers to quit. However, the results should be interpreted with caution due to variations in study quality, treatment fidelity and the possibility of publication or selective reporting bias.</AbstractText>",
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