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Behavioral Interventions for Smoking Cessation in Adolescents: Korea Preventive Services Task Force Guidance
J Korean Soc Res Nicotine Tob 2021; 12(1): 1-7
Published online June 15, 2021
© 2021 The Korean Society for Research on Nicotine and Tobacco.

Younglee Choi1†, Cheol Min Lee2†, Jae Moon Yun3, Eon Sook Lee4, Seung-Won Oh2, Naae Lee5, Belong Cho3*, Korea Preventive Services Task Force

1Biomedical Research Institute, Seoul National University Hospital, 2Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, 3Department of Family Medicine, Seoul National University Hospital, Seoul, 4Department of Family Medicine, Ilsan-Paik Hospital, Inje University, Goyang, 5Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Korea
Correspondence to: 조비룡
서울대학교병원 가정의학과
E-mail: belong@snu.ac.kr
ORCID: https://orcid.org/0000-0001-9558-689X
공동 제1 저자.
질병예방서비스위원회 명단: 이종구(서울대학교 의과대학, 위원장) 김현창(연세대학교 의과대학), 박병주(서울대학교 의과대학), 조종희(서울특별시 북부병원 보건의료복지통합센터), 조정진(한림대학교 의과대학), 조성일(서울대학교 보건대학원), 김수영(한림대학교 의과대학), 이석구(충남대학교 의과대학), 김영재(교보생명부속의원), 임현우(가톨릭대학교 의과대학), 조비룡(서울대학교 의과대학), 신승수(아주대학교 의과대학), 김건엽(경북대학교 의과대학), 이철주(서울대학교 언론정보학과)
Received February 1, 2021; Revised April 13, 2021; Accepted May 13, 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: Korea Preventive Services Task Force (KPSTF) Guidance on behavioral interventions for smoking cessation among adolescents.
Methods: To develop the KPSTF guidance, the Evidence-based Practice Center of the KPSTF conducted an evidence evaluation via a rapid systematic review on the behavioral interventions for smoking cessation in adolescents. Thereafter, the evidence level and recommendation grade were evaluated as per the KPSTF Manual for Public Health Guidance. We selected nine experts of smoking cessation and methodology achieved consensus of the recommendation grade by evaluating effect size, priority, resources, feasibility, health equity, and reliability of values and preferences using a modified Delphi Method.
Results: This guidance is applicable for adolescents aged <20 y who smoke.
Conclusion: The KPSTF recommends providing “Adolescent Smoking Cessation Program” to smoking adolescents age <20 y; however, the intensity is weak (Recommendation grade: B, evidence level: moderate). The KPSTF confirmed the clinical effects of behavioral smoking cessation interventions in adolescents. However, the effect size was not large (Risk Ratio [95% Confidence Interval]: 1.30 [1.20-1.41], I2=26.46%); therefore, we decided to provide the recommendation on a weekly basis. This recommendation was developed as per data on foreign populations; therefore, when applied to the domestic health environment, the results may vary. In the future, randomized comparative clinical studies should be performed to confirm the effectiveness of domestic youth smoking cessation programs.
Keywords : Adolescent; Behavioral therapy; Smoking cessation; Guidance
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