Evidence map›Paper›PMID 10514156›Full record

Trial reportBMJ (Clinical research ed.)1999

Cluster randomised controlled trial of expert system based on the transtheoretical ("stages of change") model for smoking prevention and cessation in schools.

P Aveyard, K K Cheng, J Almond, E Sherratt, R Lancashire, T Lawrence, C Griffin, O Evans

Registry-linked trialOpen access · bronzeAbstract 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. It is linked to trial NCT00311948 (Telephone and Web-based Teen Tobacco Cessation in HMOs), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% of its field
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.

NCT00311948 phase3completednot on this mapstarted 2006, after this paper: background citation

Telephone and Web-based Teen Tobacco Cessation in HMOs

TypeinterventionalSponsorKaiser PermanenteRan2006 to 2010Enrolled600ConditionsTobacco UseArmsTelephone counseling + interactive website = more abstinence, Behavioral: interactive website
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Tobacco cessation interventions for young people.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. School-based programmes for preventing smoking.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Frequency and type of use of a home-based, Internet intervention for adolescent smoking cessation.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2007
    Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

P AveyardDepartment of Public Health, University of Birmingham, Birmingham B15 2TT. p.n.aveyard@bham.ac.uk
K K Cheng
J Almond
E Sherratt
R Lancashire
T Lawrence
C Griffin
O Evans
University of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine whether a year long programme based on the transtheoretical model of behaviour change, incorporating three sessions using an expert system computer program and three class lessons, could reduce the prevalence of teenage smoking.

designCluster randomised trial comparing the intervention to a control group exposed only to health education as part of the English national curriculum.

setting52 schools in the West Midlands region.

participants8352 students in year 9 (age 13-14 years) at those schools.

main outcome measuresPrevalence of teenage smoking 12 months after the start of the intervention.

resultsOf the 8352 students recruited, 7444 (89.1%) were followed up at 12 months. The intention to treat odds ratio for smoking in the intervention group relative to control was 1.08 (95% confidence interval 0.89 to 1.33). Sensitivity analysis for loss to follow up and adjustment for potential confounders did not alter these findings.

conclusionsThe smoking prevention and cessation intervention based on the transtheoretical model, as delivered in this trial, is ineffective in schoolchildren aged 13-14.

Indexed as

Smoking CessationSmoking PreventionAdolescentBehavior TherapyEnglandFemaleHumansMaleOutcome Assessment, Health CarePrevalenceSchool Health Services

Identifiers

PMID10514156
PMCPMC28247
OpenAlexW2019634771

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.