Evidence map›Paper›PMID 19959695›Full record

Trial reportCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2009

Effectiveness of a nurse-managed, lay-led tobacco cessation intervention among ohio appalachian women.

Mary Ellen Wewers, Amy K Ferketich, Judith Harness, Electra D Paskett

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Smoking reduction interventions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Nursing interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Pooled it
  5. Smoking cessation interventions for smokers with current or past depression.The Cochrane database of systematic reviews · 2013
    Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Effectiveness of Two Community Health Worker Models of Tobacco Dependence Treatment Among Community Residents of Ohio Appalachia.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  10. Trial
  11. Trial
  12. Characteristics of rural Appalachian women who enroll in a tobacco dependence treatment clinical trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2011
    Trial
  13. Article
  14. Article
  15. A Multi-level Model to Understand Cervical Cancer Disparities in Appalachia.Cancer prevention research (Philadelphia, Pa.) · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Perceived risk of cervical cancer in Appalachian women.American journal of health behavior · 2012
    Article
  20. Perceptions of smoking cessation programs in rural Appalachia.American journal of health behavior · 2012
    Article
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

4 authors.

Mary Ellen WewersThe Ohio State University, Columbus, 43210, USA. wewers.1@osu.edu
Amy K Ferketich
Judith Harness
Electra D Paskett

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI WANCAI YANG · 1985 to 2026
$132.3M
University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
YOGA, IMMUNE FUNCTION, AND HEALTHM01RR000034 · NCRR · OHIO STATE UNIVERSITY · PI RAMMOHAN, KOTTIL WALAPPIL · 1985 to 2008
$22.7M
TRAINING AND CAREER DEVELOPMENTP50CA105632 · NCI · OHIO STATE UNIVERSITY · PI WEGHORST, CHRISTOPHER M · 2003 to 2016
$17.2M
NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA105632NCRR NIH HHS M01 RR000034NCRR NIH HHS M01 RR00034NCRR NIH HHS UL1 RR025755
6 · The paper itself

Abstract

objectivesThe purpose of this study was to evaluate a nurse-managed, lay-led tobacco cessation intervention delivered to adult women in Ohio Appalachia.

methodsA randomized controlled experimental design included intervention participants (n = 147) enrolled in a nurse-managed, lay-led protocol that incorporated nicotine replacement and behavioral counseling. Control participants (n = 155) received a personalized letter from their clinic physician, who advised them to quit smoking and requested they schedule a clinic appointment to discuss cessation.

resultsSelf-reported and cotinine-validated quit rates were significantly higher among intervention group participants compared with control group participants at 3-and 6-month follow-up (P < 0.02). At 12 months, self-reported abstinence was 19.1% (intervention group) and 9.0% (control group), with cotinine-validated rates of 12.2% and 7.1%, respectively (P = 0.13). Prolonged abstinence rates were significantly different between groups at 3, 6, and 12 months (P < 0.02). Logistic regression analyses indicated adjusted odds of cotinine-validated quitting was associated with cigarette consumption per day (odds ratio, 0.94; 95% confidence interval, 0.89-0.99) and Center for Epidemiologic Studies Depression Scale score > or = 16 (odds ratio, 0.39; 95% confidence interval, 0.17-0.90).

conclusionsA lay-led approach that is managed by a nurse may serve as an effective cessation strategy among this high-risk population. Additional efforts are needed to sustain long-term abstinence, even after intensive intervention.

Indexed as

Directive CounselingNursesAdolescentAdultAppalachian RegionCotinineFemaleFollow-Up StudiesHumansLongitudinal StudiesMiddle AgedOhioOutcome Assessment, Health CareRisk FactorsSmokingTobacco Use CessationCotinine

Identifiers

PMID19959695
PMCPMC2791896

What OpenQuestion holds

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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.