Evidence map›Paper›PMID 22011421›Full record

Trial reportAmerican journal of preventive medicine2011

Offering population-based tobacco treatment in a healthcare setting: a randomized controlled trial.

Nancy A Rigotti, Asaf Bitton, Jennifer K Kelley, Bettina B Hoeppner, Douglas E Levy, Elizabeth Mort

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive 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 NCT05527392 (Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 16% 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.

NCT05527392 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden: A Childhood Cancer Survivor Study Randomized Trial (HINTII)

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2027Enrolled529ConditionsChildhood Cancer SurvivorsArmsHealth Insurance Navigation Tools Program
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
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  4. A Proactive Outreach Strategy Using a Local Area Code to Refer Unassisted Smokers in a Safety Net Health System to a Quitline: A Pragmatic Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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  6. Proactively Offered Text Messages and Mailed Nicotine Replacement Therapy for Smokers in Primary Care Practices: A Pilot Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
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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

6 authors at 3 institutions in 1 country.

Nancy A RigottiTobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital, Boston, USA. nrigotti@partners.org
Asaf Bitton
Jennifer K Kelley
Bettina B Hoeppner
Douglas E Levy
Elizabeth Mort
Mass General Brigham · USMassachusetts General Hospital · USBrigham and Women's Hospital · US

Funding

Smoking Cessation Interventions for Health Care SettingsK24HL004440 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI RIGOTTI, NANCY A · 2000 to 2009
$1.5M
Dynamic Processes of Smoking CessationK01DA027097 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HOEPPNER, BETTINA B. · 2010 to 2014
$834k
NHLBI NIH HHS K24 HL004440NHLBI NIH HHS K24-HL08880NIDA NIH HHS 1K01DA027097-01A1NIDA NIH HHS K01 DA027097NIDA NIH HHS L30 DA025511
6 · The paper itself

Abstract

backgroundThe healthcare system is a key channel for delivering treatment to tobacco users. Brief clinic-based interventions are effective but not reliably offered. Population management strategies might improve tobacco treatment delivery in a healthcare system. PURPOSE: To test the effectiveness of supplementing clinic-based care with a population-based direct-to-smoker (DTS) outreach offering easily accessible free tobacco treatment.

designRandomized controlled trial, conducted in 2009-2010, comparing usual clinical care to usual care plus DTS outreach. SETTING/

participantsA total of 590 smokers registered for primary care at a community health center in Revere MA.

interventionsThree monthly letters offering a free telephone consultation with a tobacco coordinator who provided free treatment including up to 8 weeks of nicotine patches (NRT) and proactive referral to the state quitline for multisession counseling.

main outcome measuresUse of any tobacco treatment (primary outcome) and tobacco abstinence at the 3-month follow-up; cost per quit.

resultsOf 413 eligible smokers, 43 (10.4%) in the DTS group accepted the treatment offer; 42 (98%) requested NRT and 30 (70%) requested counseling. In intention-to-treat analyses adjusted by logistic regression for age, gender, race, insurance, diabetes, and coronary heart disease, a higher proportion of the DTS group, compared to controls, had used NRT (11.6% vs 3.9%, OR=3.47; 95% CI=1.52, 7.92) or any tobacco treatment (14.5% vs 7.3%, OR=1.95, 95% CI=1.04, 3.65) and reported being tobacco abstinent for the past 7 days (5.3% vs 1.1%, OR=5.35, 95% CI=1.23, 22.32) and past 30 days (4.1% vs 0.6%, OR=8.25, 95% CI=1.08, 63.01). The intervention did not increase smokers' use of counseling (1.7% vs 1.1%) or non-NRT medication (3.6% vs 3.9%). Estimated incremental cost per quit was $464.

conclusionsA population-based outreach offering free tobacco treatment to smokers in a health center was a feasible, cost-effective way to increase the reach of treatment (primarily NRT) and to increase short-term quit rates.

trial registrationThis study is registered at Clinicaltrials.govNCT01321944.

Indexed as

Tobacco Use Cessation DevicesAdultCommunity Health ServicesCommunity-Institutional RelationsCost-Benefit AnalysisDirective CounselingFeasibility StudiesFemaleFollow-Up StudiesHumansLogistic ModelsMaleMassachusettsMiddle AgedProspective StudiesSmoking Cessation

Identifiers

PMID22011421
PMCPMC3235408
OpenAlexW1548522572

What OpenQuestion holds

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LicenceTDM
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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.