ArticleEClinicalMedicine2025
Effectiveness of family-based behavioral intervention for smoking cessation in low-income households: a systematic review and meta-analysis.
Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
- Smoking cessation in adolescents and effective strategies: a position paper.Italian journal of pediatrics · 2026Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Smoking-attributable harms are substantial in low-income households. The effectiveness of family-based behavioral interventions for smoking cessation in this population remains uncertain. This review aims to assess the effectiveness of family-based behavioral interventions on smoking cessation in low-income households. Methods: This systematic review and meta-analysis were conducted by searching six databases and one clinical trial registry for studies published from inception to 30 January 2024 (with an updated search conducted until 1st January 2025). Randomized controlled trials of family-based behavioral interventions for smoking parents from low-income households, co-living children aged ≤18 years, were included. Data extraction and analysis were independently performed by two investigators following the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. Primary outcomes were self-reported 7-day point prevalence abstinence (PPA) or biochemically validated abstinence at 3 months or longer. The Mantel-Haenszel method was used to calculate the relative risk (RR) with random-effect model. The study was registered on PROSPERO (CRD42023466096). Findings: Among 22 trials (N = 5292) included in the review, 12 (N = 2782) were analyzed in the meta-analysis. Most of trials (17/22) were of moderate or high quality. Family-based behavioral interventions significantly increased self-reported 7-day PPA (RR:1.70, 95%CI: 1.16-2.48) compared with usual care at follow-ups of 3 months or longer. Behavioral counseling combined with nicotine replacement therapy (NRT) was most effective (RR: 2.45, 95% CI: 1.28-4.68) and for 12-month follow-up (RR: 1.96, 95% CI: 1.44-2.66). Further significant effects were observed in parents of non-asthmatic children (RR: 1.88, 95% CI: 1.39-2.53), parents both smoked (RR: 1.79, 95% CI: 1.23-2.60), and interventions including NRT provision (RR: 1.78, 95% CI: 1.15-2.74). Interpretation: Family-based behavioral interventions significantly increased abstinence in low-income households where both parents smoked and pharmacotherapy was included. Interventions that incorporated behavioral counseling with NRT and implemented with a long-term follow-up tended to be more effective. Funding: None.
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