Evidence map›Paper›PMID 18984559›Full record

Trial reportJournal of medical Internet research2008

Internet delivered support for tobacco control in dental practice: randomized controlled trial.

Thomas K Houston, Joshua S Richman, Midge N Ray, Jeroan J Allison, Gregg H Gilbert, Richard M Shewchuk, Connie L Kohler, Catarina I Kiefe, DPBRN Collaborative Group

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT00126750 nacompletednot on this map

MI-Plus: Web-enhanced Guideline Implementation for Post MI CBOC Patients

TypeinterventionalSponsorUS Department of Veterans AffairsRan2003 to 2010Enrolled847ConditionsMyocardial Infarction, ComorbidityArmsVA MI Plus Interactive
NCT00627185 early_phase1completednot on this map

Dental Tobacco Control.Net:Improving Practice

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2003 to 2008Enrolled190ConditionsTobacco Use DisorderArmsInternet-delivered continuing professional development, No intervention arm
3 · Its place in the literature

Who cites it

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

  1. Interventions for tobacco cessation delivered by dental professionals.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Internet-based interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Interventions for tobacco cessation in the dental setting.The Cochrane database of systematic reviews · 2012
    Pooled it
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  10. A tailored intervention to support pharmacy-based counseling for smoking cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2010
    Trial
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  12. Variations in tobacco control in National Dental PBRN practices: the role of patient and practice factors.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Thomas K HoustonSurgical and Medical Acute care and Advanced illness Research and Transition sciences (SMAART) Center, VA HSR&D REAP, Birmingham VA Medical Center, Birmingham, AL, USA. thouston@uab.edu
Joshua S Richman
Midge N Ray
Jeroan J Allison
Gregg H Gilbert
Richard M Shewchuk
Connie L Kohler
Catarina I Kiefe
DPBRN Collaborative Group
University of Alabama at Birmingham · USBirmingham VA Medical Center · US

Funding

Dental PBRN Network ChairU01DE016747 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2005 to 2011
$17.3M
Dental Practice-Based Research Network Coordinating CtrU01DE016746 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FUNKHOUSER, ELLEN M · 2005 to 2011
$7.0M
Dental Tobacco Control Net Improving PracticeR01DA017971 · NIDA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HOUSTON, THOMAS K. · 2003 to 2007
$2.2M
NIDA NIH HHS R01 DA017971NIDA NIH HHS R01-DA-17971NIDCR NIH HHS U01 DE016746NIDCR NIH HHS U01 DE016747NIDCR NIH HHS U01-DE-16746NIDCR NIH HHS U01-DE-16747
6 · The paper itself

Abstract

backgroundThe dental visit is a unique opportunity for tobacco control. Despite evidence of effectiveness in dental settings, brief provider-delivered cessation advice is underutilized.

objectiveTo evaluate an Internet-delivered intervention designed to increase implementation of brief provider advice for tobacco cessation in dental practice settings.

methodsDental practices (N = 190) were randomized to the intervention website or wait-list control. Pre-intervention and after 8 months of follow-up, each practice distributed exit cards (brief patient surveys assessing provider performance, completed immediately after the dental visit) to 100 patients. Based on these exit cards, we assessed: whether patients were asked about tobacco use (ASK) and, among tobacco users, whether they were advised to quit tobacco (ADVISE). All intervention practices with follow-up exit card data were analyzed as randomized regardless of whether they participated in the Internet-delivered intervention.

resultsOf the 190 practices randomized, 143 (75%) dental practices provided follow-up data. Intervention practices' mean performance improved post-intervention by 4% on ASK (29% baseline, adjusted odds ratio = 1.29 [95% CI 1.17-1.42]), and by 11% on ADVISE (44% baseline, OR = 1.55 [95% CI 1.28-1.87]). Control practices improved by 3% on ASK (Adj. OR 1.18 [95% CI 1.07-1.29]) and did not significantly improve in ADVISE. A significant group-by-time interaction effect indicated that intervention practices improved more over the study period than control practices for ADVISE (P = 0.042) but not for ASK.

conclusionThis low-intensity, easily disseminated intervention was successful in improving provider performance on advice to quit.

trial registrationclinicaltrials.gov NCT00627185, http://www.webcitation.org/5c5Kugvzj.

Indexed as

DentistryInternetSocial SupportAdvertisingHealth Services AccessibilityHealth SurveysHumansMouth NeoplasmsPatient SelectionSmokingSmoking CessationSurveys and QuestionnairesTherapy, Computer-AssistedTreatment OutcomeUser-Computer Interface

Identifiers

PMID18984559
PMCPMC2630831
OpenAlexW2043415536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.