Trial reportAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2011
A randomized trial of a multicomponent cessation strategy for emergency department smokers.
Trial report in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07119658 (Targeting Metabolic Syndrome From the Emergency Department Through Mixed-Methods), which is not on this map. Cited by 33 papers, 5 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.
Targeting Metabolic Syndrome From the Emergency Department Through Mixed-Methods: Pilot Trial
Who cites it
33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Effectiveness of community health workers involvement in smoking cessation programme: A systematic review.PloS one · 2020Pooled it
- Emergency Department-Initiated Tobacco Control: Update of a Systematic Review and Meta-Analysis of Randomized Controlled Trials.Preventing chronic disease · 2017Pooled it
- Combined pharmacotherapy and behavioural interventions for smoking cessation.The Cochrane database of systematic reviews · 2016Pooled it
- Systematic Review of ED-based Intimate Partner Violence Intervention Research.The western journal of emergency medicine · 2015Pooled it
- Guideline
- Successful Optimization of Tobacco Dependence Treatment in the Emergency Department: A Randomized Controlled Trial Using the Multiphase Optimization Strategy.Annals of emergency medicine · 2023Trial
- Feasibility and Short-Term Effects of a Multi-Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial.Journal of the American Heart Association · 2022Trial
- A Parental Smoking Cessation Intervention in the Pediatric Emergency Setting: A Randomized Trial.International journal of environmental research and public health · 2020Trial
- Trial
- A Multicomponent Intervention Including Texting to Promote Tobacco Abstinence in Emergency Department Smokers: A Pilot Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Trial
- Successful Tobacco Dependence Treatment in Low-Income Emergency Department Patients: A Randomized Trial.Annals of emergency medicine · 2015Trial
- The acceptability of incorporating a youth smoking prevention intervention in the pediatric emergency department.Journal of health care for the poor and underserved · 2014Trial
- Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders.Journal of substance abuse treatment · 2013Trial
- Predictors of in-person follow-up among subjects in an ED-based smoking cessation trial.The American journal of emergency medicine · 2012Trial
- Trial
- Smoking cessation in emergency departments: a reality check.Internal and emergency medicine · 2026Review
- Emergency Department Peer Recovery Support Services for Individuals with Substance Use Disorders: A Systematic Review of Comparative Studies.Substance abuse and rehabilitation · 2026Review
- Effects of a structured SBIRT training program for hospital nursing leaders on utilization of SBIRT within their medical-surgical units: cohort study.BMC nursing · 2025Article
- Prevalence of Cigarette Smoking Among Adult Emergency Department Patients in Canada.The western journal of emergency medicine · 2020Article
- Physician-directed smoking cessation using patient "opt-out" approach in the emergency department: A pilot program.Journal of the American College of Emergency Physicians open · 2020Article
Corrections and comments
- Commented on by
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe objective was to determine the efficacy of an emergency department (ED)-based smoking cessation intervention.
methodsThis study was a randomized trial conducted from January 2006 to September 2007 at an urban ED that treats 90,000 adults per year. Discharged adults who smoked at least 10 cigarettes per day were randomized to 1) usual care, receiving a smoking cessation brochure; or 2) enhanced care, receiving the brochure, a motivational interview (MI), nicotine patches, and a phone call at 3 days. Interventions were performed by a peer educator trained in tobacco treatment. Blinded follow-up was performed at 3 months.
resultsA total of 338 subjects were enrolled, mean (±SD) age was 40.2 (±12.0) years, 51.8% were female, and 56.5% were either self-pay or Medicaid. Demographic and clinical variables were comparable between groups. Enhanced and usual care arms showed similar cessation rates at 3 months (14.7% vs. 13.2%, respectively). The proportion of subjects making a quit attempt (69.2% vs. 66.5%) and decrease in daily cigarette use (five vs. one; all p > 0.05) were also similar. In logistic modeling, factors associated with quitting included any tobacco-related International Classification of Diseases, ninth revision (ICD-9), code for the ED visit (odds ratio [OR]= 3.42, 95% confidence interval [CI] = 1.61 to 7.26) or subject belief that the ED visit was tobacco-related (OR = 2.47, 95% CI = 1.17 to 5.21). Conversely, subjects who reported having a preexisting tobacco-related illness were less likely to quit (OR = 0.22, 95% CI = 0.10 to 0.50).
conclusionsThe primary endpoint was negative, reflecting a higher-than-expected quit rate in the control group. Subjects whose ED visit was tobacco-related, based either on physician diagnosis or subject perception, were more than twice as likely to quit. These data suggest that even low-intensity screening and referral may prompt substantial numbers of ED smokers to quit or attempt to quit.
Indexed as
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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.