Evidence map›Paper›PMID 10346773›Full record

Trial reportBMJ (Clinical research ed.)1999

Advising parents of asthmatic children on passive smoking: randomised controlled trial.

L Irvine, I K Crombie, R A Clark, P W Slane, C Feyerabend, K E Goodman, J I Cater

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Prevention strategies for asthma--secondary prevention.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005
    Guideline
  5. Changing Exposure Perceptions: A Randomized Controlled Trial of an Intervention with Smoking Parents.International journal of environmental research and public health · 2020
    Trial
  6. Trial
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  10. Parent quit attempts after counseling to reduce children's secondhand smoke exposure and promote cessation: main and moderating relationships.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2009
    Trial
  11. Counseling to reduce children's secondhand smoke exposure and help parents quit smoking: a controlled trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2009
    Trial
  12. Trial
  13. Article
  14. Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

L IrvineDepartment of Child Health, Ninewells Hospital and Medical School, Dundee DD1 9SY. lirvine@eph.dundee.ac.uk
I K Crombie
R A Clark
P W Slane
C Feyerabend
K E Goodman
J I Cater

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo investigate whether parents of asthmatic children would stop smoking or alter their smoking habits to protect their children from environmental tobacco smoke.

designRandomised controlled trial.

settingTayside and Fife, Scotland.

participants501 families with an asthmatic child aged 2-12 years living with a parent who smoked.

interventionParents were told about the impact of passive smoking on asthma and were advised to stop smoking or change their smoking habits to protect their child's health.

main outcome measuresSalivary cotinine concentrations in children, and changes in reported smoking habits of the parents 1 year after the intervention.

resultsAt the second visit, about 1 year after the baseline visit, a small decrease in salivary cotinine concentrations was found in both groups of children: the mean decrease in the intervention group (0.70 ng/ml) was slightly smaller than that of the control group (0.88 ng/ml), but the net difference of 0.19 ng/ml had a wide 95% confidence interval (-0.86 to 0.48). Overall, 98% of parents in both groups still smoked at follow up. However, there was a non-significant tendency for parents in the intervention group to report smoking more at follow up and to having a reduced desire to stop smoking.

conclusionsA brief intervention to advise parents of asthmatic children about the risks from passive smoking was ineffective in reducing their children's exposure to environmental tobacco smoke. The intervention may have made some parents less inclined to stop smoking. If a clinician believes that a child's health is being affected by parental smoking, the parent's smoking needs to be addressed as a separate issue from the child's health.

Indexed as

AdultAsthmaChildChild, PreschoolChild WelfareCommunicationCotinineFamily PracticeFemaleHealth EducationHumansMaleMiddle AgedParentsSalivaScotlandCotinineTobacco Smoke Pollution

Identifiers

PMID10346773
PMCPMC27890

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.