Evidence map›Paper›PMID 22007015›Full record

Trial reportPediatrics2011

Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents.

Lori Pbert, Susan Druker, Joseph R DiFranza, Diane Gorak, George Reed, Robert Magner, Anne H Sheetz, Stavroula Osganian

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 19% 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.

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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Tobacco cessation interventions for young people.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. [School nurses in Germany-pilot projects and consolidation].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Review
  8. Article
  9. Article
  10. Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers.International journal of environmental research and public health · 2020
    Article
  11. Article
  12. Article
  13. Pilot Study.The Journal of school nursing : the official publication of the National Association of School Nurses · 2017
    Article
  14. Article
  15. Article
  16. Article
  17. Tobacco smoking status and perception of health among a sample of Jordanian students.International journal of environmental research and public health · 2014
    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

8 authors at 4 institutions in 2 countries.

Lori PbertDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA. lori.pbert@umassmed.edu
Susan Druker
Joseph R DiFranza
Diane Gorak
George Reed
Robert Magner
Anne H Sheetz
Stavroula Osganian
General Department of Preventive Medicine · VNMassachusetts Department of Public Health · USBoston Children's Hospital · USUniversity of Massachusetts Chan Medical School · US

Funding

School Nurse-delivered Smoking Cessation InterventionR01CA114556 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PBERT, LORI · 2006 to 2009
$2.2M
NCI NIH HHS R01 CA114556
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a school nurse-delivered smoking-cessation intervention in increasing abstinence among adolescent smokers.

methodsThirty-five high schools were pair-matched and randomly assigned to 1 of 2 conditions, each of which consisted of 4 visits with the school nurse: (1) counseling intervention using the 5 A's model and cognitive-behavioral techniques; or (2) an information-attention control condition. Adolescents (n = 1068) who reported past 30-day smoking and interest in quitting completed surveys at baseline and at 3 and 12 months and provided saliva samples for biochemical validation of reported smoking abstinence.

resultsIntervention condition participants were almost twice as likely to be abstinent per self-report at 3 months (odds ratio: 1.90 [95% confidence interval: 1.12-3.24]; P = .017) compared with control participants; at 12 months there were no differences. The difference at 3 months was driven by quit rates in male students (15.0% [intervention] vs 4.9% [control]; odds ratio: 3.23 [95% confidence interval: 1.63-6.43]; P = .001); there was no intervention effect in female students at either time point (6.6% vs 7.0% at 3 months and 16.6% vs 15.5% at 12 months) and no intervention effect in male students at 12 months (13.9% vs 13.2%). Smoking amount and frequency decreased significantly in intervention compared with control schools at 3 but not at 12 months.

conclusionsA school nurse-delivered smoking-cessation intervention proved feasible and effective in improving short-term abstinence among adolescent boys and short-term reductions in smoking amount and frequency in both genders. Additional research is needed to enhance both cessation and maintained abstinence.

Indexed as

Smoking CessationSmoking PreventionAdolescentAdolescent BehaviorAttitude to HealthCognitive Behavioral TherapyConfidence IntervalsCounselingFemaleHealth PromotionHumansLinear ModelsMaleNurse's RoleOdds RatioPatient Compliance

Identifiers

PMID22007015
PMCPMC3208959
OpenAlexW2161339783

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.