preterm birth (RR 0.86, 95% CI 0.74 to 0.98), and there was a 53.91g (95% CI 10.44 g to 95.38 g) increase in mean birthweight. There were no statistically significant differences in neonatal intensive care unit admissions, very low birthweight, stillbirths, perinatal or neonatal mortality but these analyses had very limited power. K et al, Systematic Primary Training health professionals 13/17 studies found no evidence + Include 2012 Review Abstinence to provide smoking cessation of an effect for continuous from smoking interventions had a smoking abstinence following the Training >6 months measurable effect on the intervention. health after the start point prevalence of smoking, Meta-analysis of 14 studies for professionals of the continuous abstinence and prevalence of smoking in smoking intervention, professional performance. produced a statistically and cessation. Secondary The one exception was the clinically significant effect in Included provision of nicotine gum or favour of the intervention (OR Smoking process replacement therapy, which 1.36, 95% CI 1.20 to 1.55, p= variables, e.g. did not differ between 0.004). Cessation the number of groups. Meta-analysis of eight studies smokers who that reported continuous Adults were: abstinence was also statistically asked to set significant (OR 1.60, 95% CI • a date for 1.26 to 2.03, p= 0.03). stopping (quit Healthcare professionals who date) had received training were more likely to perform tasks of
preterm birth (RR 0.86, 95% CI 0.74 to 0.98), and there was a 53.91g (95% CI 10.44 g to 95.38 g) increase in mean birthweight. There were no statistically significant differences in neonatal intensive care unit admissions, very low birthweight, stillbirths, perinatal or neonatal mortality but these analyses had very limited power. K et al, 2012 Training health professionals in smoking cessation. Smoking Cessation Adults Systematic Review Primary Abstinence from smoking >6 months after the start of the intervention, Secondary Included process variables, e.g. the number of smokers who were: • asked to set a date for stopping (quit date) Training health professionals to provide smoking cessation interventions had a measurable effect on the point prevalence of smoking, continuous abstinence and professional performance. The one exception was the provision of nicotine gum or replacement therapy, which did not differ between groups. 13/17 studies found no evidence of an effect for continuous smoking abstinence following the intervention. Meta-analysis of 14 studies for prevalence of smoking produced a statistically and clinically significant effect in favour of the intervention (OR 1.36, 95% CI 1.20 to 1.55, p= 0.004). Meta-analysis of eight studies that reported continuous abstinence was also statistically significant (OR 1.60, 95% CI 1.26 to 2.03, p= 0.03). Healthcare professionals who had received training were more likely to perform tasks of + Include