Evidence map›Paper›PMID 22157229›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2012

A randomized trial of computer-delivered brief intervention and low-intensity contingency management for smoking during pregnancy.

Steven J Ondersma, Dace S Svikis, Phebe K Lam, Veronica S Connors-Burge, David M Ledgerwood, John A Hopper

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 16 pooled it
2.3field-weighted citation impact, top 12% 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

59 citing papers in PubMed, 16 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  4. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
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  10. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  11. Competitions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
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  16. Contingency Management Versus Psychotherapy for Prenatal Smoking Cessation: A Meta-Analysis of Randomized Controlled Trials.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Pooled it
  17. Prize-Based Incentives for Smoking Cessation Among People With HIV: A Sequential Multiple Assignment Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Trial
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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 2 institutions in 1 country.

Steven J OndersmaMerrrill Palmer Skillman Institute, Wayne State University, Detroit, MI 48202, USA. s.ondersma@wayne.edu
Dace S Svikis
Phebe K Lam
Veronica S Connors-Burge
David M Ledgerwood
John A Hopper
Wayne State University · USVirginia Commonwealth University · US

Funding

A Computer-Assisted Brief Motivational Intervention for Smoking During PregnancyR21DA021668 · NIDA · WAYNE STATE UNIVERSITY · PI ONDERSMA, STEVEN J. · 2007 to 2008
$410k
NIDA NIH HHS DA021668
6 · The paper itself

Abstract

introductionImplementation of evidence-based interventions for smoking during pregnancy is challenging. We developed 2 highly replicable interventions for smoking during pregnancy: (a) a computer-delivered 5As-based brief intervention (CD-5As) and (b) a computer-assisted, simplified, and low-intensity contingency management (CM-Lite).

methodsA sample of 110 primarily Black pregnant women reporting smoking in the past week were recruited from prenatal care clinics and randomly assigned to CD-5As (n = 26), CM-Lite (n = 28), CD-5As plus CM-Lite (n = 30), or treatment as usual (n = 26). Self-report of smoking, urine cotinine, and breath CO were measured 10 weeks following randomization.

resultsParticipants rated both interventions highly (e.g., 87.5% of CD-5As participants reported increases in likelihood of quitting), but most CM-Lite participants did not initiate reinforcement sessions and did not show increased abstinence. CD-5As led to increased abstinence as measured by cotinine (43.5% cotinine negative vs. 17.4%; odds ratio [OR] = 10.1, p = .02) but not for CO-confirmed 7-day point prevalence (30.4% abstinent vs. 8.7%; OR = 5.7, p = .06). Collapsing across CM-Lite status, participants receiving the CD-5As intervention were more likely to talk to a doctor or nurse about their smoking (60.5% vs. 30.8%; OR = 3.0, p = .02).

conclusionsLow-intensity participant-initiated CM did not affect smoking in this sample, but the CD-5As intervention was successful in increasing abstinence during pregnancy. Further research should seek to replicate these results in larger and more diverse samples. Should CD-5As continue to prove efficacious, it could greatly increase the proportion of pregnant smokers who receive an evidence-based brief intervention.

Indexed as

Smoking PreventionAdolescentAdultFemaleHumansMotivationOdds RatioPatient CompliancePatient Education as TopicPregnancyPrenatal CareSmoking Cessation

Identifiers

PMID22157229
PMCPMC3281243
OpenAlexW2128531852

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.