Evidence map›Paper›PMID 23010696›Full record

Trial reportTobacco control2013

Cost-effectiveness of internet and telephone treatment for smoking cessation: an economic evaluation of The iQUITT Study.

Amanda L Graham, Yaojen Chang, Ye Fang, Nathan K Cobb, David S Tinkelman, Raymond S Niaura, David B Abrams, Jeanne S Mandelblatt

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Tobacco control, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00282009 (Internet and Telephone Counseling for Smoking Cessation), which is not on this map. Cited by 22 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

NCT00282009 nacompletednot on this map

Internet and Telephone Counseling for Smoking Cessation

TypeinterventionalSponsorGeorgetown UniversityRan2004 to 2015Enrolled2,205ConditionsUnspecified Adult Solid Tumor, Protocol SpecificArmsBasic Internet, Enhanced Internet, Enhanced Internet + phone
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Digital interventions in mental health: evidence syntheses and economic modelling.Health technology assessment (Winchester, England) · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
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  5. Real-time video counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  7. Internet-based interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
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  11. Improving Adherence to Smoking Cessation Treatment: Intervention Effects in a Web-Based Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
  12. Baseline Characteristics and Generalizability of Participants in an Internet Smoking Cessation Randomized Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    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

8 authors.

Amanda L GrahamSchroeder Institute for Tobacco Research and Policy Studies, Legacy, Washington, DC, USA.
Yaojen Chang
Ye Fang
Nathan K Cobb
David S Tinkelman
Raymond S Niaura
David B Abrams
Jeanne S Mandelblatt

Funding

Comparative Modeling: Informing Breast Cancer Control Practice & PolicyU01CA152958 · NCI · GEORGETOWN UNIVERSITY · PI BERRY, DONALD A, DE KONING, HARRY J · 2010 to 2015
$7.6M
OUTCOMES ACROSS THE SPECTRUM OF BREAST CANCER CAREU01CA088283 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2000 to 2010
$2.6M
Internet and Telephone Treatment for Smoking CessationR01CA104836 · NCI · GEORGETOWN UNIVERSITY · PI GRAHAM, AMANDA L · 2004 to 2008
$2.4M
Cancer Control at the Intersection of Aging ResearchK05CA096940 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2002 to 2011
$1.5M
NCI NIH HHS K05 CA096940NCI NIH HHS KO5CA96940NCI NIH HHS R01 CA104836NCI NIH HHS R01CA104836NCI NIH HHS U01 CA088283NCI NIH HHS U01CA088283NCI NIH HHS U01 CA152958NCI NIH HHS U01CA152958
6 · The paper itself

Abstract

backgroundInternet and telephone treatments for smoking cessation can reach large numbers of smokers. There is little research on their costs and the impact of adherence on costs and effects.

objectiveTo conduct an economic evaluation of The iQUITT Study, a randomised trial comparing Basic Internet, Enhanced Internet and Enhanced Internet plus telephone counselling ('Phone') at 3, 6, 12 and 18 months.

methodsWe used a payer perspective to evaluate the average and incremental cost per quitter of the three interventions using intention-to-treat analysis of 30-day single-point prevalence and multiple-point prevalence (MPP) abstinence rates. We also examined results based on adherence. Costs included commercial charges for each intervention. Discounting was not included given the short time horizon.

resultsBasic Internet had the lowest cost per quitter at all time points. In the analysis of incremental costs per additional quitter, Enhanced Internet+Phone was the most cost-effective using both single and MPP abstinence metrics. As adherence increased, the cost per quitter dropped across all arms. Costs per quitter were lowest among participants who used the 'optimal' level of each intervention, with an average cost per quitter at 3 months of US$7 for Basic Internet, US$164 for Enhanced Internet and US$346 for Enhanced Internet+Phone.

conclusions'Optimal' adherence to internet and combined internet and telephone interventions yields the highest number of quitters at the lowest cost. Cost-effective means of ensuring adherence to such evidence-based programmes could maximise their population-level impact on smoking prevalence.

Indexed as

Health Care CostsTelephoneAdultCost-Benefit AnalysisCounselingFemaleHumansIntention to Treat AnalysisInternetMaleMiddle AgedSmokingSmoking CessationSmoking PreventionTobacco Use DisorderCessationEconomicsMedia

Identifiers

PMID23010696
PMCPMC3626730

What OpenQuestion holds

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Read underepoch 390

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.