فهرست نشریات علمی دسترسی آزاد ایران

Background: Smoking cessation is a critical global public health objective, with community-based interventions emerging as effective strategies to enhance quit rates, particularly among underserved populations. Despite the variety of approaches available, comprehensive evaluations of these interventions are limited, hindering their optimal implementation across diverse settings.Objectives: This scoping review aims to evaluate the effectiveness of community-based smoking cessation interventions and identify key elements that contribute to improved quit rates across various populations.Methods: This scoping review followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines to ensure methodological rigor and transparency. We searched the Scopus, PubMed, Web of Science, Ovid, and ProQuest databases for studies published between January 1, 2014, and August 20, 2024. Search terms included “community-based,” “smoking cessation,” and “intervention.” The screening process was streamlined using Rayyan AI for title, abstract, and full-text reviews. Studies were included if they involved empirical research on community-based smoking cessation interventions targeting adults aged 17 to 59 years. Inclusion criteria encompassed community-based interventions (e.g., educational programs, support groups, mobile health) with or without comparators. The primary focus was on smoking cessation outcomes such as quit rates and abstinence. Data were synthesized descriptively to summarize study characteristics, intervention types, and populations. Key findings were interpreted through narrative synthesis, highlighting common themes and patterns across the studies.Results: Out of 5,428 identified studies, 21 met the inclusion criteria. Peer coaching, group therapy, and digital platforms demonstrated substantial effectiveness, particularly when culturally adapted. Peer-led models utilizing motivational interviewing significantly improved quit rates in underserved populations by addressing access barriers and fostering supportive environments. Group therapy interventions enhanced quit rates through shared accountability and collective support, while digital platforms exhibited scalability, cost-effectiveness, and accessibility, especially in resource-limited settings.Conclusion: Community-based smoking cessation interventions are highly effective, particularly when tailored to specific population needs. Future research should focus on the cost-effectiveness of these strategies and explore hybrid models that integrate digital tools, peer support, and behavioral therapies to maximize quit rates among diverse, high-risk populations.