Hospitalization is a unique opportunity for smoking cessation, but there is little evidence for hospitalized people with mental disorder. This study aimed to determine the effectiveness of interventions for smoking cessation that are initiated during hospital stay for the patients with mental disorder.
We undertook a meta-analysis to estimate summary effects on smoking cessation intervention during hospitalization with randomized controlled trials for people with mental disorders. Electronic data was searched in May 2019 for randomized controlled trial using term including (hospital and patient*) or hospitali* or inpatient* or admission* or admitted and Intervention of smoking cessation and (psychia* OR mental*). Two authors extracted data independently for each paper, with disagreement resolved by 3rd researcher. Fixed effects model was used for pooling estimate for smoking cessation after 6months because of homogeneity for the extracted studies.
Three studies with 687 for intervention group and 584 for control group were extracted. Intensive intervention that began during the hospitalization and continued after discharge increased smoking cessation rate after 6months (risk ratio (RR) 1.41, 95% confidence interval (CI) 1.06∼1.87).
Intensive intervention that began during a hospital stay and post discharge therapy promote smoking cessation among the patients with mental disorders.
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The study is performed to recognize overall effect size of interventions based on mindfulness and further find the moderator variables which affect the effect size. In order to achieve this goal, we have selected ACT and MBSR as intervention programs among many studies published in the national academic journals and performed meta-analysis of studies treating depressive and anxiety symptom as dependent variables. In case of anxiety symptom, it showed a significant difference in ACT (Hedges’g=−0.596), however, it did not show any significant difference in MBSR (Hedges’g=−0.419). In case of depressive symptom, both ACT (Hedges’g=−0.622) and MBSR (Hedges’g=−0.784) showed significant differences.
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