ReviewBMC public health2020
Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: a rapid realist review.
Review in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of Interventions for Changing More Than One Behavior at a Time to Manage Chronic Conditions: A Systematic Review and Meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Pooled it
- Community mobilisation approaches to preventing adolescent multiple risk behaviour: a realist review.Systematic reviews · 2024Pooled it
- Effectiveness of the spirometry-based motivational intervention to quit smoking: RESET randomised trial.The European journal of general practice · 2023Trial
- The Impact of a Clinical Decision Support System for Addressing Physical Activity and Healthy Eating During Smoking Cessation Treatment: Hybrid Type I Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Identifying Subgroups Among Current Smokers Enrolled in the Smoking Cessation Clinic Program: A Latent Class Analysis Approach.Healthcare (Basel, Switzerland) · 2026Article
- Context, mechanisms, and outcomes of smoke-free school hours in social and health care vocational schools: a realist informed qualitative analysis.BMC public health · 2026Article
- GLP-1 agonists for smoking cessation and post-cessation weight management: A systematic review and meta-analysis of randomized trials.Tobacco induced diseases · 2026Review
- Tobacco use trends in South Korea, 2013-2023: Persistent disparities and emerging challenges in a repeated cross-sectional study.Tobacco induced diseases · 2026Article
- Assessing Compliance and Challenges in Implementing Smoke-Free Zone Regulations in Indonesia.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- The potential of programme theory in bridging the evidence into practice gap in implementation science: a worked example of integrating palliative care into heart failure management.BMC health services research · 2025Article
- Barriers and facilitators to nicotine and cannabis vaping cessation among young adults: a qualitative study using Capability, Opportunity, Motivation, and Behavior (COM-B) model and Theoretical Domains Framework (TDF).Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Article
- Willingness toward psychosocial support during cancer treatment: a critical yet challenging construct in psychosocial care.Translational behavioral medicine · 2023Article
- Digital Intergenerational Program to Reduce Loneliness and Social Isolation Among Older Adults: Realist Review.JMIR aging · 2023Review
- A qualitative study on people with opioid use disorders' perspectives on smoking and smoking cessation interventions.Frontiers in psychiatry · 2023Article
- The impact of dental care programs on healthcare system and societal outcomes: a scoping review.BMC health services research · 2022Article
- The Dynamic Interplay of Healthy Lifestyle Behaviors for Cardiovascular Health.Current atherosclerosis reports · 2022Review
- Physical activity promotion in rural health care settings: A rapid realist review.Preventive medicine reports · 2022Review
- Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: a multi-country survey of adolescents and young adults.Frontiers in public health · 2022Article
- Is the motivation to quit smoking a predictor of abstinence maintenance?Tobacco prevention & cessation · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundSmoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.
methodsThis realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.
resultsOf the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.'s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant's capability or motivation to make a behaviour change was only successful within certain contexts.
conclusionIn order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from 'individualistic epidemiology' and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).
trial registrationPROSPERO registration number: CRD42017064430.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.