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Logo of tobcontTobacco ControlCurrent TOCInstructions for authors
Tob Control. Dec 2000; 9(4): 415–422.
PMCID: PMC1748387

Do social support interventions ("buddy systems") aid smoking cessation? A review

Abstract

OBJECTIVE—To provide an overview of the role of social support in smoking cessation and to critically review evidence regarding the use of "buddy systems" (where smokers are specifically provided with someone to support them) to aid smoking cessation.
DATA SOURCES—Studies were located by searching Medline and Psyclit using the key words "smoking", "smoking cessation", "social support", and "buddy". Additional studies were identified through reference lists. Only studies reported in English and published since 1980 were included.
STUDY SELECTION—Studies were selected on four criteria: publication in a peer reviewed journal; randomised controlled trial using smokers who wanted to stop; the use of a social support intervention, including a "buddy"; dependent variable of smoking abstinence. Most research in this area does not use a randomised design so only a small proportion of the originally identified studies were included.
DATA SYNTHESIS—In view of the diverse nature of the studies, a meta-analysis was not attempted. Ten studies were identified: nine were clinic based smoking trials, eight used a group format, and nine used buddies from among smokers' existing relationships. Support training varied from role play and rehearsal to a simple instruction to call each other regularly. Intervention and follow up periods varied between studies. Two studies showed a significant benefit of the intervention in the short term.
CONCLUSIONS—Research methodology in many cases was poor. The evidence would suggest that in the context of a smokers clinic the use of buddies may be of some benefit. There is a lack of evidence regarding the efficacy of the use of buddies in community interventions. This is an important area for future research.


Keywords: social support; smoking cessation; buddy

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Selected References

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  • Peto R, Lopez AD, Boreham J, Thun M, Heath C, Jr, Doll R. Mortality from smoking worldwide. Br Med Bull. 1996 Jan;52(1):12–21. [PubMed]
  • Hymowitz N, Cummings KM, Hyland A, Lynn WR, Pechacek TF, Hartwell TD. Predictors of smoking cessation in a cohort of adult smokers followed for five years. Tob Control. 1997;6 (Suppl 2):S57–S62. [PMC free article] [PubMed]
  • Raw M, McNeill A, West R. Smoking cessation guidelines for health professionals. A guide to effective smoking cessation interventions for the health care system. Health Education Authority. Thorax. 1998 Dec;53 (Suppl 5 Pt 1):S1–19. [PMC free article] [PubMed]
  • Hanson BS, Isacsson SO, Janzon L, Lindell SE. Social support and quitting smoking for good. Is there an association? Results from the population study, "Men born in 1914," Malmö, Sweden. Addict Behav. 1990;15(3):221–233. [PubMed]
  • McBride CM, Curry SJ, Grothaus LC, Nelson JC, Lando H, Pirie PL. Partner smoking status and pregnant smoker's perceptions of support for and likelihood of smoking cessation. Health Psychol. 1998 Jan;17(1):63–69. [PubMed]
  • Stevens PA, Greene JG, Primavera LH. Predicting successful smoking cessation. J Soc Psychol. 1982 Dec;118(SECOND):235–241. [PubMed]
  • Mermelstein R, Cohen S, Lichtenstein E, Baer JS, Kamarck T. Social support and smoking cessation and maintenance. J Consult Clin Psychol. 1986 Aug;54(4):447–453. [PubMed]
  • Warnecke RB, Flay BR, Kviz FJ, Gruder CL, Langenberg P, Crittenden KS, Mermelstein RJ, Aitken M, Wong SC, Cook TD, et al. Characteristics of participants in a televised smoking cessation intervention. Prev Med. 1991 May;20(3):389–403. [PubMed]
  • Richmond RL, Kehoe LA, Webster IW. Multivariate models for predicting abstention following intervention to stop smoking by general practitioners. Addiction. 1993 Aug;88(8):1127–1135. [PubMed]
  • Gulliver SB, Hughes JR, Solomon LJ, Dey AN. An investigation of self-efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction. 1995 Jun;90(6):767–772. [PubMed]
  • Waldron I, Lye D. Family roles and smoking. Am J Prev Med. 1989 May-Jun;5(3):136–141. [PubMed]
  • Coppotelli HC, Orleans CT. Partner support and other determinants of smoking cessation maintenance among women. J Consult Clin Psychol. 1985 Aug;53(4):455–460. [PubMed]
  • Morgan GD, Ashenberg ZS, Fisher EB., Jr Abstinence from smoking and the social environment. J Consult Clin Psychol. 1988 Apr;56(2):298–301. [PubMed]
  • Digiusto E, Bird KD. Matching smokers to treatment: self-control versus social support. J Consult Clin Psychol. 1995 Apr;63(2):290–295. [PubMed]
  • Venters MH, Kottke TE, Solberg LI, Brekke ML, Rooney B. Dependency, social factors, and the smoking cessation process: the doctors helping smokers study. Am J Prev Med. 1990 Jul-Aug;6(4):185–193. [PubMed]
  • Cohen S, Lichtenstein E. Partner behaviors that support quitting smoking. J Consult Clin Psychol. 1990 Jun;58(3):304–309. [PubMed]
  • Roski J, Schmid LA, Lando HA. Long-term associations of helpful and harmful spousal behaviors with smoking cessation. Addict Behav. 1996 Mar-Apr;21(2):173–185. [PubMed]
  • Murray RP, Johnston JJ, Dolce JJ, Lee WW, O'Hara P. Social support for smoking cessation and abstinence: the Lung Health Study. Lung Health Study Research Group. Addict Behav. 1995 Mar-Apr;20(2):159–170. [PubMed]
  • Pirie PL, Rooney BL, Pechacek TF, Lando HA, Schmid LA. Incorporating social support into a community-wide smoking-cessation contest. Addict Behav. 1997 Jan-Feb;22(1):131–137. [PubMed]
  • Kviz FJ, Crittenden KS, Madura KJ, Warnecke RB. Use and effectiveness of buddy support in a self-help smoking cessation program. Am J Health Promot. 1994 Jan-Feb;8(3):191–201. [PubMed]
  • Hajek P, Belcher M, Stapleton J. Enhancing the impact of groups: an evaluation of two group formats for smokers. Br J Clin Psychol. 1985 Nov;24(Pt 4):289–294. [PubMed]
  • Etringer BD, Gregory VR, Lando HA. Influence of group cohesion on the behavioral treatment of smoking. J Consult Clin Psychol. 1984 Dec;52(6):1080–1086. [PubMed]
  • Lando HA, McGovern PG. The influence of group cohesion on the behavioral treatment of smoking: a failure to replicate. Addict Behav. 1991;16(3-4):111–121. [PubMed]
  • Albrecht S, Payne L, Stone CA, Reynolds MD. A preliminary study of the use of peer support in smoking cessation programs for pregnant adolescents. J Am Acad Nurse Pract. 1998 Mar;10(3):119–125. [PubMed]
  • Ginsberg D, Hall SM, Rosinski M. Partner support, psychological treatment, and nicotine gum in smoking treatment: an incremental study. Int J Addict. 1992 May;27(5):503–514. [PubMed]
  • Glasgow RE, Klesges RC, O'Neill HK. Programming social support for smoking modification: an extension and replication. Addict Behav. 1986;11(4):453–457. [PubMed]
  • Gruder CL, Mermelstein RJ, Kirkendol S, Hedeker D, Wong SC, Schreckengost J, Warnecke RB, Burzette R, Miller TQ. Effects of social support and relapse prevention training as adjuncts to a televised smoking-cessation intervention. J Consult Clin Psychol. 1993 Feb;61(1):113–120. [PubMed]
  • Malott JM, Glasgow RE, O'Neill HK, Klesges RC. Co-worker social support in a worksite smoking control program. J Appl Behav Anal. 1984 Winter;17(4):485–495. [PMC free article] [PubMed]
  • Orleans CT, Schoenbach VJ, Wagner EH, Quade D, Salmon MA, Pearson DC, Fiedler J, Porter CQ, Kaplan BH. Self-help quit smoking interventions: effects of self-help materials, social support instructions, and telephone counseling. J Consult Clin Psychol. 1991 Jun;59(3):439–448. [PubMed]
  • West R, Edwards M, Hajek P. A randomized controlled trial of a "buddy" systems to improve success at giving up smoking in general practice. Addiction. 1998 Jul;93(7):1007–1011. [PubMed]
  • Waller RE, Froggatt P. Product modification. Br Med Bull. 1996 Jan;52(1):193–205. [PubMed]
  • Lando HA, Hellerstedt WL, Pirie PL, McGovern PG. Brief supportive telephone outreach as a recruitment and intervention strategy for smoking cessation. Am J Public Health. 1992 Jan;82(1):41–46. [PMC free article] [PubMed]
  • Jacobson NS, Follette WC, Revenstorf D, Baucom DH, Hahlweg K, Margolin G. Variability in outcome and clinical significance of behavioral marital therapy: a reanalysis of outcome data. J Consult Clin Psychol. 1984 Aug;52(4):497–504. [PubMed]
  • Heller K, Thompson MG, Trueba PE, Hogg JR, Vlachos-Weber I. Peer support telephone dyads for elderly women: was this the wrong intervention? Am J Community Psychol. 1991 Feb;19(1):53–74. [PubMed]
  • Ginsberg D, Hall SM, Rosinski M. Partner interaction and smoking cessation: a pilot study. Addict Behav. 1991;16(5):195–202. [PubMed]
  • Brown GW, Andrews B, Harris T, Adler Z, Bridge L. Social support, self-esteem and depression. Psychol Med. 1986 Nov;16(4):813–831. [PubMed]

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