Trial reportArchives of internal medicine2010
Engaging physicians and pharmacists in providing smoking cessation counseling.
Trial report in Archives of internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 7 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2021Pooled it
- Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021Pooled it
- Community pharmacy interventions for health promotion: effects on professional practice and health outcomes.The Cochrane database of systematic reviews · 2019Pooled it
- Community pharmacy personnel interventions for smoking cessation.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review.Systematic reviews · 2018Pooled it
- Training health professionals in smoking cessation.The Cochrane database of systematic reviews · 2012Pooled it
- Trial
- Recruitment of community pharmacies in a randomized trial to generate patient referrals to the tobacco quitline.Research in social & administrative pharmacy : RSAPTrial
- A randomized trial evaluating 2 approaches for promoting pharmacy-based referrals to the tobacco quitline: methods and baseline findings.Research in social & administrative pharmacy : RSAPTrial
- Outcomes of a randomized trial evaluating two approaches for promoting pharmacy-based referrals to the tobacco quitline.Journal of the American Pharmacists Association : JAPhATrial
- Testing the feasibility of the QuitAid smoking cessation intervention in a randomized factorial design in an independent, rural community pharmacy.Pilot and feasibility studies · 2024Article
- Community Pharmacies' Promotion of Smoking Cessation Support Services in Saudi Arabia: Examining Current Practice and Barriers.Healthcare (Basel, Switzerland) · 2023Article
- Which Way? Indigenous-led Smoking Cessation Care: Knowledge, Attitudes and Practices of Aboriginal and Torres Strait Islander Health Workers and Practitioners - A National Cross-sectional Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Implementing Brief Tobacco Cessation Interventions in Community Pharmacies: An Application of Rogers' Diffusion of Innovations Theory.Pharmacy (Basel, Switzerland) · 2022Article
- Tobacco cessation programs and factors associated with their effectiveness in the Middle East: A systematic review.Tobacco induced diseases · 2022Review
- Characteristics of us adults attempting tobacco use cessation using e-cigarettes.Addictive behaviors · 2020Article
- A tele-mentoring tobacco cessation case consultation and education model for healthcare providers in community mental health centers.Cogent medicine · 2018Article
- Review
- Cost-effectiveness analysis of smoking-cessation counseling training for physicians and pharmacists.Addictive behaviors · 2015Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundHealth professionals have a proven, positive impact on patients' ability to quit smoking, yet few integrate cessation counseling into routine practice.The aim of this study was to evaluate the impact of continuing education training on physicians' and pharmacists' cessation counseling.
methodsA group-randomized trial of health care providers (87 physicians and 83 pharmacists) from 16 Texas communities compared smoking cessation training (intervention group) with skin cancer prevention training (control group). Pretraining, posttraining, and extended follow-up surveys were collected from providers. Perceived ability, confidence, and intention (ACI) to address smoking with patients were assessed with a composite ACI index. Patient exit interviews (at baseline, 1452 patients completed interviews; after 12 months, 1303 completed interviews) assessed counseling practices.
resultsThere was a significant increase in the percentage of physicians with a high ACI index in the intervention group from pretraining to posttraining (27% to 73%; P < .001) vs the control group (27% to 34%; P = .42) and for pharmacists (4% to 60%; P < .001) vs the control group (10% to 14%; P = .99). Similar results were seen from pretraining to extended follow-up. At baseline, fewer pharmacy patients reported being asked about smoking compared with patients seen by physicians (7% vs 33%; P = .001). There was an increase in assisting patients to quit (6% to 36%; P = .002) by physicians (baseline vs 12 months) in the intervention group, but not in the control group.
conclusionsTraining led to significant and lasting improvement in counseling among physicians. Low levels of counseling were seen among pharmacists.
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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.