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美国西班牙裔/拉丁裔成年人戒烟干预措施的系统评价和计划荟萃分析方案。

Smoking cessation interventions for Hispanic/Latino(a) adults in the USA: protocol for a systematic review and planned meta-analysis.

机构信息

Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.

Clinical Trials Office, Moffitt Cancer Center, Tampa, Florida, USA.

出版信息

BMJ Open. 2022 Dec 15;12(12):e065634. doi: 10.1136/bmjopen-2022-065634.

Abstract

INTRODUCTION

Hispanic smokers face multiple cultural and socioeconomic barriers to cessation that lead to prominent health disparities, including a lack of language-appropriate, culturally relevant, evidence-based smoking cessation interventions. This systematic review will examine the literature on smoking cessation interventions for Hispanic adults in the USA to assess (1) the availability of interventions, (2) the methodological quality of the studies evaluating the interventions and (3) the efficacy of the interventions.

METHODS AND ANALYSIS

A systematic literature search will be conducted, in English with no date limits, through the following databases starting at year of inception: Medical Allied Health Literature, Embase, American Psychology Association Psychology Articles, Cumulative Index to Nursing and Allied Health Literature Complete, ScienceDirect, Health & Medicine Collection and Web of Science Core Collection. Trial registries and grey literature sources will be searched to identify ongoing or unpublished studies. Literature search will be rerun prior to eventual submission of the review to ensure the inclusion of relevant studies. Quantitative studies evaluating the efficacy of a smoking cessation intervention (ie, smoking cessation as a measured outcome) for Hispanic adult smokers in the USA will be included in the systematic review. Two authors will independently identify relevant studies, extract data and conduct quality and risk of bias assessments. Discrepancies in coding will be discussed between the two reviewers and pending disagreements will be resolved by a third reviewer. First, the quality of all studies will be assessed, then randomised controlled trials (RCTs) will be further evaluated for risk of bias using Cochrane's Risk of Bias Tool. All eligible studies will be summarised descriptively. If data allow, the efficacy of smoking cessation interventions tested in RCTs, with a minimum follow-up of 6 months, will be quantitatively estimated using ORs and 95% CIs. The association between intervention type/modality and efficacy will be assessed via subgroup analyses.

PROSPERO REGISTRATION NUMBER

CRD42022291068.

摘要

简介

西班牙裔烟民在戒烟方面面临着多种文化和社会经济障碍,导致了显著的健康差距,包括缺乏语言适宜、文化相关、基于证据的戒烟干预措施。本系统评价将检查美国西班牙裔成年人戒烟干预措施的文献,以评估:(1)干预措施的可获得性,(2)评估干预措施的研究的方法学质量,以及(3)干预措施的疗效。

方法和分析

将进行系统的文献检索,使用英语,没有时间限制,通过以下数据库从成立年份开始:医学相关健康文献、Embase、美国心理学协会心理学文章、完整的护理和联合健康文献累积索引、ScienceDirect、健康与医学收藏和 Web of Science 核心收藏。将搜索试验登记处和灰色文献来源,以确定正在进行或未发表的研究。在最终提交审查之前,将重新进行文献检索,以确保纳入相关研究。本系统评价将纳入评估美国西班牙裔成年烟民戒烟干预措施(即,作为衡量结果的戒烟)疗效的定量研究。两名作者将独立识别相关研究、提取数据并进行质量和偏倚风险评估。如果存在分歧,将在两位评审员之间进行讨论,如果存在悬而未决的分歧,则由第三位评审员解决。首先,将评估所有研究的质量,然后使用 Cochrane 偏倚风险工具进一步评估随机对照试验(RCT)的偏倚风险。将对所有合格的研究进行描述性总结。如果数据允许,将使用 OR 和 95%置信区间,对至少随访 6 个月的 RCT 中测试的戒烟干预措施的疗效进行定量估计。将通过亚组分析评估干预类型/模式与疗效之间的关联。

前瞻性注册编号

CRD42022291068。

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