Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jan-Dec:15:21501319241241470.
doi: 10.1177/21501319241241470.

Behavioral Therapy for People With Diabetes Who Smoke: A Scoping Review

Roberta Sammut  1 , Joseph Grech  1 , Riccardo Polosa  2 , Davide Campagna  2 , Agostino Di Ciaula  3 , Tabinda Dugal  4 , Andre Kenge  5 , Anoop Misra  6 , Syed Abbas Raza  7 , Cristina Russo  8 , Noel Somasundaram  9 , Magdalena Walicka  10   11 , Le Dinh Phoung  12 , Graziella Chiara Prezzavento  2 , Mirko Casu  2 , Giusy Rita Maria La Rosa  2 , Pasquale Caponnetto  2
Affiliations

Behavioral Therapy for People With Diabetes Who Smoke: A Scoping Review

Roberta Sammut et al. J Prim Care Community Health. 2024 Jan-Dec.

Abstract

Background: Tobacco smoking exacerbates diabetes-related complications; its prevalence is notwithstanding substantial. Persons with diabetes face a number of barriers and challenges to quitting such as multiple lifestyle restrictions; tailored interventions are required for smoking cessation.

Objective: To identify research on behavioral interventions for smoking cessation in diabetes.

Methods: Studies had to be randomized controlled trials, quasiexperimental or systematic reviews. The behavioral interventions included were: the 5As, Cognitive-Behavioral Therapy, Motivational Interviewing, Contingency Management, Health Coaching and Counselling, as compared to standard care. The outcomes were self-reported and/or biochemically verified smoking cessation. CINAHL Complete, MEDLINE Complete, the Cochrane databases of systematic reviews and randomized controlled trials, PsychInfo and PubMed Central were searched until July, 2023. Keywords used included diabetes, smoking cessation and each of the behavioral interventions included.

Results: 1615 papers were identified. Three studies on the 5As/brief advice, 4 on Motivational Intervention and 1 on counseling were retained. The results on the 5As and Motivational Interviewing were conflicting. More intensive interventions appear to be more successful in achieving smoking cessation in smokers with diabetes.

Conclusions: Future research should focus on the continued development and evaluation of structured smoking cessation interventions based on the 5As, Motivational interviewing and Cognitive Behavioral Therapy.

Keywords: behavioral health; diabetes mellitus; health promotion; lifestyle change; smoking.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA 2020 flow diagram for scoping review of behavioral therapy to assist smoking cessation in persons with Diabetes Mellitus. Source: Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71. Abbreviations: Ml, motivational interviewing; CBT, cognitive behavioral therapy; CM, contingency management; HC, health coaching.
See this image and copyright information in PMC

References

    1. World Health Organisation. Diabetes. Updated 2023. Accessed June 27, 2023. https://www.who.int/news-room/fact-sheets/detail/diabetes.
    1. Action on Smoking and Health, (ASH). Smoking statistics. Updated 2023. Accessed June 27, 2023. https://ash.org.uk/uploads/Smoking-Statistics-Fact-Sheet.pdf?v=1697728811.
    1. West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):1018-1036. doi:10.1080/08870446.2017.1325890 - DOI - PMC - PubMed
    1. Durlach V, Vergès B, Al-Salameh A, et al.. Smoking and diabetes interplay: a comprehensive review and joint statement. Diabetes Metab. 2022;48. 6. doi:10.1016/j.diabet.2022.101370 - DOI - PubMed
    1. Pan A, Wang Y, Talaei M, Hu FB. Relation of smoking with total mortality and cardiovascular events among patients with diabetes mellitus: a meta-analysis and systematic review. Circulation. 2015;132(19):1795-1804. doi:10.1161/CIRCULATIONAHA.115.017926 - DOI - PMC - PubMed

Publication types

MeSH terms