Historique
Article de Périodique
Behaviour change techniques reported in intervention studies of alcohol and tobacco use: a rapid review (2025)
Auteur(s) :
CHANDRAN, A. ;
VELDHUIZEN, S. ;
MEHRA, K. ;
RODAK, T. ;
VAGHARFARD, D. ;
PHAM, M. ;
ZAWERTAILO, L. ;
REHM, J. ;
HENDERSHOT, C. S. ;
SELBY, P. ;
MINIAN, N.
Année
2025
Page(s) :
art. 2554182
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Alcool / Alcohol ; Tabac / Tobacco / e-cigarette
Thésaurus mots-clés
ALCOOL
;
TABAC
;
INTERVENTION
;
COMPORTEMENT
;
METHODE
;
SEVRAGE
;
REDUCTION DE CONSOMMATION
;
POLYCONSOMMATION
;
ARRET DU TABAC
Résumé :
ENGLISH:
Background: Clinical guidelines recommend addressing alcohol and tobacco use simultaneously, but few providers offer brief alcohol interventions routinely, and these behaviours are often treated separately. While several interventions targeted dual use, there remains a gap in identifying behaviour change techniques (BCTs) designed to modify processes controlling dual use.
Objective: To identify commonly used BCTs in interventions targeting both alcohol and tobacco use, their modes of delivery, and explore which BCTs are associated with smoking cessation and/or alcohol reduction.
Methods: Following Cochrane recommendations, a rapid review to identify BCTs showing promise for reducing dual use was conducted. Using an eligibility criteria, we retrieved relevant papers from databases and used the Behavioural Change Taxonomy V1 tool to identify BCTs showing promise.
Results: Thirty-eight articles of the initial systematic search of 2987 papers met the criteria for full article review. Goal setting, action planning, and pharmacological support were the most common BCTs identified. Most studies (33,87%) had a low or moderate risk of bias. Of these 33 studies, 13 studies (39%) reported statistically significant outcomes of reduction or cessation in smoking behaviour and alcohol consumption. Face to face (25,76%) was the most common intervention delivery method.
Conclusion: Clinical trials identify goal setting, action planning and problem solving to address the dual use of tobacco and alcohol. Systematic reviews and meta-analyses are needed to evaluate the true impact of these programmes. Future studies should minimally include these BCTs and study the interactional effects of these BCTs on the efficacy of the intervention. [Author's abstract]
FRANÇAIS :
Cette revue rapide analyse 38 études d'intervention visant la réduction conjointe de la consommation d'alcool et de tabac, afin d'identifier les techniques de changement de comportement (BCTs) les plus fréquemment utilisées et leur efficacité.
Les BCTs les plus courantes sont :
- La fixation d'objectifs (goal setting),
- La planification d'actions (action planning),
- Le soutien pharmacologique (substituts nicotiniques, varénicline, naltrexone, etc.),
- La résolution de problèmes (problem solving),
- Et l'information sur les conséquences pour la santé.
Parmi les 33 études à faible ou risque modéré de biais, 13 (39%) ont montré des résultats significatifs en termes de réduction ou d'arrêt simultané du tabac et de l'alcool.
Les interventions en présentiel (76%) se sont révélées plus fréquentes, mais les interventions numériques (par téléphone, web ou application) montrent aussi un potentiel prometteur.
Conclusion clé :
Les interventions combinant plusieurs BCTs (notamment goal setting, action planning et problem solving) semblent les plus efficaces pour traiter la double consommation tabac/alcool.
Les auteurs soulignent le besoin de méta-analyses systématiques pour confirmer ces résultats et encouragent l'intégration de ces techniques dans les futures pratiques cliniques, qu'elles soient en face-à-face ou numériques. [Synthèse SFA]
Background: Clinical guidelines recommend addressing alcohol and tobacco use simultaneously, but few providers offer brief alcohol interventions routinely, and these behaviours are often treated separately. While several interventions targeted dual use, there remains a gap in identifying behaviour change techniques (BCTs) designed to modify processes controlling dual use.
Objective: To identify commonly used BCTs in interventions targeting both alcohol and tobacco use, their modes of delivery, and explore which BCTs are associated with smoking cessation and/or alcohol reduction.
Methods: Following Cochrane recommendations, a rapid review to identify BCTs showing promise for reducing dual use was conducted. Using an eligibility criteria, we retrieved relevant papers from databases and used the Behavioural Change Taxonomy V1 tool to identify BCTs showing promise.
Results: Thirty-eight articles of the initial systematic search of 2987 papers met the criteria for full article review. Goal setting, action planning, and pharmacological support were the most common BCTs identified. Most studies (33,87%) had a low or moderate risk of bias. Of these 33 studies, 13 studies (39%) reported statistically significant outcomes of reduction or cessation in smoking behaviour and alcohol consumption. Face to face (25,76%) was the most common intervention delivery method.
Conclusion: Clinical trials identify goal setting, action planning and problem solving to address the dual use of tobacco and alcohol. Systematic reviews and meta-analyses are needed to evaluate the true impact of these programmes. Future studies should minimally include these BCTs and study the interactional effects of these BCTs on the efficacy of the intervention. [Author's abstract]
FRANÇAIS :
Cette revue rapide analyse 38 études d'intervention visant la réduction conjointe de la consommation d'alcool et de tabac, afin d'identifier les techniques de changement de comportement (BCTs) les plus fréquemment utilisées et leur efficacité.
Les BCTs les plus courantes sont :
- La fixation d'objectifs (goal setting),
- La planification d'actions (action planning),
- Le soutien pharmacologique (substituts nicotiniques, varénicline, naltrexone, etc.),
- La résolution de problèmes (problem solving),
- Et l'information sur les conséquences pour la santé.
Parmi les 33 études à faible ou risque modéré de biais, 13 (39%) ont montré des résultats significatifs en termes de réduction ou d'arrêt simultané du tabac et de l'alcool.
Les interventions en présentiel (76%) se sont révélées plus fréquentes, mais les interventions numériques (par téléphone, web ou application) montrent aussi un potentiel prometteur.
Conclusion clé :
Les interventions combinant plusieurs BCTs (notamment goal setting, action planning et problem solving) semblent les plus efficaces pour traiter la double consommation tabac/alcool.
Les auteurs soulignent le besoin de méta-analyses systématiques pour confirmer ces résultats et encouragent l'intégration de ces techniques dans les futures pratiques cliniques, qu'elles soient en face-à-face ou numériques. [Synthèse SFA]
Affiliation :
INTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada