Table 2.
Overall effect sizes, homogeneity, and moderator analyses
Measure | k | n | d+ | 95% Confidence intervals | Homogeneity analysis | ||
---|---|---|---|---|---|---|---|
Lower | Upper | Qw | Qb | ||||
Overall | 17 | 7,446 | 0.33 | 0.23 | 0.43 | 41.55*** | |
Outliers | 0.23 | ||||||
Excluding Anthonisen et al. (1994) | 16 | 3,521 | 0.31 | 0.20 | 0.42 | 29.92* | |
Quality | 3.10 | ||||||
Adequate power and sample sizea | 9 | 6,833 | 0.37 | 0.27 | 0.48 | 26.7*** | |
Inadequate power and sample sizea | 8 | 613 | 0.22 | 0.00 | 0.43 | 7.28 | |
Intervention designb | 0.26 | ||||||
Drug versus placebo | 4 | 1,417 | 0.31 | 0.21 | 0.42 | 2.61 | |
Intervention versus usual care | 12 | 5,996 | 0.34 | 0.20 | 0.48 | 33.84*** | |
Setting | 13.34*** | ||||||
Home component | 11 | 2,666 | 0.28 | 0.19 | 0.37 | 24.01** | |
Exclusively medical setting | 6 | 4,780 | 0.46 | 0.37 | 0.55 | 2.94 | |
Deliveryc | 49.77*** | ||||||
Group components | 4 | 4,749 | 0.49 | 0.34 | 0.64 | 6.07 | |
One-to-one only | 12 | 2,606 | 0.26 | 0.14 | 0.38 | 11.86 | |
Medication | 26.23*** | ||||||
SSM | 7 | 5,736 | 0.42 | 0.37 | 0.48 | 12.83* | |
No SSM | 10 | 1,710 | 0.32 | 0.13 | 0.50 | 26.48** | |
Outcome | 3.58 | ||||||
PP | 6 | 1,133 | 0.29 | 0.00 | 0.57 | 9.11 | |
CA | 11 | 6,313 | 0.42 | 0.36 | 0.48 | 24.02** | |
BM1 ‘Provide information on the health consequences of smoking and smoking cessation’ | 1.87 | ||||||
Present | 8 | 6,350 | 0.36 | 0.21 | 0.50 | 27.01*** | |
Absent | 9 | 1,096 | 0.27 | 0.11 | 0.44 | 7.29 | |
BM2 ‘Boost motivation and self-efficacy’ | 7.29** | ||||||
Present | 12 | 2,940 | 0.30 | 0.21 | 0.39 | 26.43** | |
Absent | 5 | 4,506 | 0.43 | 0.21 | 0.65 | 5.54 | |
BM3 ‘Provide feedback on current behaviour and progress’ | 1.06 | ||||||
Present | 5 | 4,668 | 0.35 | 0.11 | 0.59 | 16.26** | |
Absent | 12 | 2,778 | 0.30 | 0.19 | 0.41 | 11.91 | |
BM4 ‘Provide rewards contingent on successfully stopping smoking’ | 0.66 | ||||||
Present | 3 | 853 | 0.38 | 0.24 | 0.52 | 0.37 | |
Absent | 14 | 6,593 | 0.32 | 0.19 | 0.44 | 41.03*** | |
BM6 ‘Prompt commitment from the client there and then’ | 0.14 | ||||||
Present | 3 | 742 | 0.36 | 0.22 | 0.51 | 1.49 | |
Absent | 14 | 6,704 | 0.33 | 0.21 | 0.45 | 39.69*** | |
BM7 ‘Provide rewards contingent on effort or progress’ | 2.03 | ||||||
Present | 3 | 634 | 0.42 | 0.05 | 0.79 | 7.45* | |
Absent | 14 | 6,812 | 0.30 | 0.20 | 0.41 | 31.59** | |
BM9 ‘Conduct motivational interviewing’ | 0.04 | ||||||
Present | 4 | 412 | 0.34 | −0.06 | 0.74 | 5.59 | |
Absent | 13 | 7,034 | 0.36 | 0.29 | 0.44 | 33.89*** | |
BM10 ‘Identify reasons for wanting and not wanting to stop smoking’ | 2.78 | ||||||
Present | 4 | 543 | 0.21 | 0.04 | 0.39 | 1.52 | |
Absent | 13 | 6,903 | 0.36 | 0.23 | 0.48 | 34.89*** | |
BS1 ‘Facilitate barrier identification and problem-solving’ | 3.00 | ||||||
Present | 7 | 2,177 | 0.28 | 0.11 | 0.46 | 23.45*** | |
Absent | 10 | 5,269 | 0.37 | 0.26 | 0.48 | 13.92 | |
BS2 ‘Facilitate relapse prevention and coping’ | 0.17 | ||||||
Present | 11 | 6,556 | 0.33 | 0.23 | 0.43 | 34.4*** | |
Absent | 6 | 890 | 0.36 | 0.14 | 0.59 | 6.72 | |
BS3 ‘Facilitate action planning/develop treatment plan’ | 4.72* | ||||||
Present | 7 | 5,057 | 0.44 | 0.39 | 0.50 | 11.71 | |
Absent | 10 | 2,389 | 0.33 | 0.17 | 0.50 | 24.19** | |
BS4 ‘Facilitate goal setting’ | 0.17 | ||||||
Present | 10 | 6,552 | 0.31 | 0.18 | 0.44 | 36.79*** | |
Absent | 7 | 894 | 0.34 | 0.20 | 0.49 | 3.59 | |
BS5 ‘Prompt review of goals’ | 1.08 | ||||||
Present | 4 | 1,028 | 0.28 | 0.14 | 0.43 | 4.25 | |
Absent | 13 | 6,418 | 0.35 | 0.23 | 0.48 | 34.17*** | |
BS6 ‘Prompt self-recording’ | 4.83* | ||||||
Present | 5 | 4,962 | 0.40 | 0.22 | 0.57 | 16.10** | |
Absent | 12 | 2,484 | 0.29 | 0.15 | 0.42 | 13.86 | |
BS8 ‘Advise on environmental restructuring’ | 0.14 | ||||||
Present | 3 | 742 | 0.36 | 0.22 | 0.51 | 1.49 | |
Absent | 14 | 6,704 | 0.33 | 0.21 | 0.45 | 39.69*** | |
BS13 ‘Advise on methods of weight control’ | 33.48*** | ||||||
Present | 3 | 4,539 | 0.53 | 0.37 | 0.69 | 4.35 | |
Absent | 14 | 2,907 | 0.25 | 0.15 | 0.36 | 13.42 | |
A1 ‘Advise on stop smoking medication’ | 0.67 | ||||||
Present | 10 | 6,593 | 0.35 | 0.23 | 0.47 | 29.27*** | |
Absent | 7 | 853 | 0.29 | 0.09 | 0.49 | 6.61 | |
A2 ‘Advise on/facilitate use of social support’ | 8.00** | ||||||
Present | 7 | 5,372 | 0.40 | 0.23 | 0.57 | 13.40* | |
Absent | 10 | 2,074 | 0.25 | 0.11 | 0.39 | 7.99 | |
A3 ‘Adopt appropriate local procedures to enable clients to obtain free medication’ | 0.15 | ||||||
Present | 7 | 5,256 | 0.37 | 0.28 | 0.45 | 15.73* | |
Absent | 10 | 2,190 | 0.35 | 0.20 | 0.51 | 24.21** | |
A4 ‘Ask about experiences of stop smoking medication that the smoker is using’ | 3.45 | ||||||
Present | 3 | 4,608 | 0.40 | 0.25 | 0.56 | 3.82 | |
Absent | 14 | 2,838 | 0.31 | 0.18 | 0.43 | 28.12** | |
A5 ‘Give options for additional and later support’ | 0 | ||||||
Present | 8 | 5,787 | 0.36 | 0.28 | 0.44 | 21.82** | |
Absent | 9 | 1,659 | 0.36 | 0.19 | 0.54 | 18.98* | |
RD1 ‘Tailor interactions appropriately’ | 3.43 | ||||||
Present | 10 | 6,498 | 0.37 | 0.20 | 0.54 | 31.53*** | |
Absent | 7 | 948 | 0.24 | 0.11 | 0.37 | 3.23 | |
RD2 ‘Emphasize choice’ | 3.48 | ||||||
Present | 6 | 5,445 | 0.41 | 0.33 | 0.48 | 10.99 | |
Absent | 11 | 2,001 | 0.31 | 0.14 | 0.47 | 26.23** | |
RI1 ‘Assess current and past smoking behaviour’ | 0.03 | ||||||
Present | 11 | 6,114 | 0.36 | 0.27 | 0.45 | 29.39** | |
Absent | 6 | 1,332 | 0.35 | 0.12 | 0.57 | 7.27 | |
RI2 ‘Assess current readiness and ability to quit’ | 0.04 | ||||||
Present | 8 | 5,300 | 0.35 | 0.25 | 0.45 | 16.25* | |
Absent | 9 | 2,146 | 0.36 | 0.21 | 0.51 | 21.94** | |
RI3 ‘Assess past history of quit attempts’ | 1.39 | ||||||
Present | 3 | 774 | 0.26 | 0.05 | 0.48 | 3.90 | |
Absent | 14 | 6,672 | 0.35 | 0.23 | 0.46 | 35.83*** | |
RI5 ‘Assess nicotine dependence’ | 9.12** | ||||||
Present | 5 | 1,242 | 0.19 | 0.07 | 0.31 | 4.17 | |
Absent | 12 | 6,204 | 0.39 | 0.27 | 0.51 | 23.67* | |
RI7 ‘Assess attitudes to smoking’ | 2.50 | ||||||
Present | 3 | 485 | 0.21 | 0.03 | 0.39 | 1.47 | |
Absent | 14 | 6,961 | 0.36 | 0.24 | 0.47 | 35.22*** | |
RI10 ‘Assess physiological and mental functioning’ | 0.71 | ||||||
Present | 4 | 4,274 | 0.37 | −0.04 | 0.78 | 11.50** | |
Absent | 13 | 3,172 | 0.33 | 0.26 | 0.40 | 23.24* | |
RC1 ‘Build general rapport’ | 0.17 | ||||||
Present | 4 | 4,410 | 0.32 | 0.14 | 0.50 | 9.15* | |
Absent | 13 | 3,036 | 0.34 | 0.21 | 0.46 | 26.83** | |
RC4 ‘Explain expectations regarding treatment programme’ | 2.07 | ||||||
Present | 4 | 4,641 | 0.39 | 0.26 | 0.53 | 5.55 | |
Absent | 13 | 2,805 | 0.32 | 0.19 | 0.44 | 27.34** | |
RC5 ‘Offer/direct towards appropriate written materials’ | 0.28 | ||||||
Present | 9 | 5,872 | 0.41 | 0.36 | 0.46 | 21.77*** | |
Absent | 8 | 1,574 | 0.38 | 0.19 | 0.58 | 19.58** | |
RC6 ‘Provide information on withdrawal symptoms’ | 2.41 | ||||||
Present | 6 | 1,535 | 0.39 | 0.24 | 0.54 | 12.75* | |
Absent | 11 | 5,911 | 0.30 | 0.16 | 0.44 | 28.78** | |
RC8 ‘Elicit client views’ | 0.36 | ||||||
Present | 5 | 1,042 | 0.31 | 0.19 | 0.43 | 3.93 | |
Absent | 12 | 6,404 | 0.35 | 0.22 | 0.49 | 34.87*** | |
COPD medication advice | 0.02 | ||||||
Present | 4 | 247 | 0.37 | −0.03 | 0.76 | 5.82 | |
Absent | 13 | 7,199 | 0.35 | 0.26 | 0.43 | 34.44*** | |
COPD-specific information | 1.35 | ||||||
Present | 7 | 1,489 | 0.35 | 0.11 | 0.59 | 23.61*** | |
Absent | 10 | 5,957 | 0.42 | 0.37 | 0.47 | 16.15 | |
Link between COPD and smoking | 8.42** | ||||||
Present | 4 | 4,524 | 0.45 | 0.39 | 0.51 | 6.11 | |
Absent | 13 | 2,922 | 0.31 | 0.18 | 0.45 | 28.92** | |
BS ‘Specific focus on behaviour, maximizing self-regulatory capacity/skills’ | 1.13 | ||||||
Present | 13 | 7,190 | 0.32 | 0.23 | 0.42 | 38.92*** | |
Absent | 4 | 256 | 0.46 | 0.18 | 0.75 | 2.50 | |
A ‘Promote adjuvant activities’ | 0.89 | ||||||
Present | 13 | 7,169 | 0.33 | 0.24 | 0.42 | 38.72*** | |
Absent | 4 | 277 | 0.45 | 0.14 | 0.76 | 2.79 |
Note. SSM = stop smoking medication.
Defined as power >0.5 and sample size ≥35 in each cell (Coyne et al., 2010)
One study compared two active conditions
k = 15 Wilson et al., excluded as their experimental groups compared individual and group support.
Significant at p < .05
significant at p < .01
significant at p < .001.