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Behavioral Therapy and Pharmacotherapy for Relapse Prevention in Abstinent Smokers: Korea Preventive Services Task Force Guidance
J Korean Soc Res Nicotine Tob 2021; 12(1): 8-15
Published online June 15, 2021
© 2021 The Korean Society for Research on Nicotine and Tobacco.

Naae Lee1, Eon Sook Lee2, Jae Moon Yun3, Cheol Min Lee4, Seung-Won Oh4, Younglee Choi5, Belong Cho3*, Korea Preventive Services Task Force

1Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, 2Department of Family Medicine, Ilsan-Paik Hospital, Inje University, Goyang, 3Department of Family Medicine, Seoul National University Hospital, 4Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, 5Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea
Correspondence to: 議곕퉬猷
꽌슱븰援먮퀝썝 媛젙쓽븰怨
E-mail: belong@snu.ac.kr
ORDID: https://orcid.org/0000-0001-9558-689X
怨듬룞 젣1 옄.
吏덈퀝삁諛⑹꽌鍮꾩뒪쐞썝쉶 紐낅떒: 씠醫낃뎄(꽌슱븰援 쓽怨쇰븰, 쐞썝옣) 源쁽李(뿰꽭븰援 쓽怨쇰븰), 諛뺣퀝二(꽌슱븰援 쓽怨쇰븰), 議곗쥌씗(꽌슱듅蹂꾩떆 遺곷蹂묒썝 蹂닿굔쓽猷뚮났吏넻빀꽱꽣), 議곗젙吏(븳由쇰븰援 쓽怨쇰븰), 議곗꽦씪(꽌슱븰援 蹂닿굔븰썝), 源닔쁺(븳由쇰븰援 쓽怨쇰븰), 씠꽍援(異⑸궓븰援 쓽怨쇰븰), 源쁺옱(援먮낫깮紐낅냽쓽썝), 엫쁽슦(媛넧由븰援 쓽怨쇰븰), 議곕퉬猷(꽌슱븰援 쓽怨쇰븰), 떊듅닔(븘二쇰븰援 쓽怨쇰븰), 源嫄댁뿽(寃쎈턿븰援 쓽怨쇰븰), 씠泥좎<(꽌슱븰援 뼵濡좎젙蹂댄븰怨)
Received February 2, 2021; Revised May 20, 2021; Accepted May 22, 2021.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: This paper presents the Korea Preventive Services Task Force (KPSTF) guidance on behavioral and pharmacotherapy for relapse prevention in abstinent smokers.
Methods: Evidence was evaluated at the evidence-based practice center of the KPSTF to develop KPSTF guidance through a rapid systematic review of both behavioral and pharmacologic intervention. Subsequently, evidence level and recommendation grade were examined in accordance with the KPSTF Manual for Public Health Guidance. Consensus on the recommendation grade determined by nine experts was obtained using a modified Delphi method to evaluate the effect size, priority, resources, feasibility, health equity, and reliability of the values and preferences.
Results: This guidance applies to smokers who successfully quit smoking over 24 h on their own (unassisted abstainers), who forcibly quit because of pregnancy or hospitalization, or who quit by participating in a smoking cessation program (assisted abstainers).
Conclusion: The KPSTF does not recommend providing behavioral therapy for abstinent smokers for relapse prevention (Recommendation grade: D, evidence level: high). Instead, it recommends pharmacotherapy, albeit with weak intensity (Recommendation grade: B evidence level: high). A significant effect was confirmed in the relapse prevention intervention in pharmacotherapy, but the effect was not large (RR [95% CI]: 1.15 [1.05, 1.26], I2=40.71%). This recommendation was developed on the basis of diverse drug and foreign data, so evidence should be obtained through randomized clinical trials. However, we cannot conclude if it will have the same effect in Korea. Therefore, a sufficient number of domestic studies and long-term follow-up are required in the future to verify the relapse prevention intervention.
Keywords : Behavioral therapy; Pharmacotherapy; Relapse prevention; Smoking cessation; Guidance
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