Evidence map›Paper›PMID 23796741›Full record

Trial reportPediatrics2013

Implementation of a parental tobacco control intervention in pediatric practice.

Jonathan P Winickoff, Emara Nabi-Burza, Yuchiao Chang, Stacia Finch, Susan Regan, Richard Wasserman, Deborah Ossip, Heide Woo, Jonathan Klein, Janelle Dempsey and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 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.

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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. System change interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Pediatric Office Delivery of Smoking Cessation Assistance for Breast-Feeding Mothers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

15 authors.

Jonathan P WinickoffCenter for Child and Adolescent Health Research and Policy, Massachusetts General Hospital, Boston, MA 02114, USA. jwinickoff@partners.org
Emara Nabi-Burza
Yuchiao Chang
Stacia Finch
Susan Regan
Richard Wasserman
Deborah Ossip
Heide Woo
Jonathan Klein
Janelle Dempsey
Jeremy Drehmer
Bethany Hipple
Victoria Weiley
Sybil Murphy
Nancy A Rigotti

Funding

Changing Pediatric Office Systems Nationally to Address Parental Tobacco UseR01CA127127 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI WINICKOFF, JONATHAN P · 2007 to 2016
$9.0M
HSRD VA HIR 10-001NCI NIH HHS R01 CA127127NCI NIH HHS R01-CA127127PHS HHS 5-UA6-10-001
6 · The paper itself

Abstract

objectiveTo test whether routine pediatric outpatient practice can be transformed to assist parents in quitting smoking.

methodsCluster RCT of 20 pediatric practices in 16 states that received either CEASE intervention or usual care. The intervention gave practices training and materials to change their care delivery systems to provide evidence-based assistance to parents who smoke. This assistance included motivational messaging; proactive referral to quitlines; and pharmacologic treatment of tobacco dependence. The primary outcome, assessed at an exit interview after an office visit,was provision of meaningful tobacco control assistance, defined as counseling beyond simple advice (discussing various strategies to quit smoking), prescription of medication, or referral to the state quitline, at that office visit.

resultsAmong 18 607 parents screened after their child’s office visit between June 2009 and March 2011, 3228 were eligible smokers and 1980 enrolled (999 in 10 intervention practices and 981 in 10 control practices). Practices’ mean rate of delivering meaningful assistance for parental cigarette smoking was 42.5% (range 34%–66%) in the intervention group and 3.5% (range 0%–8%) in the control group (P < .0001).Rates of enrollment in the quitline (10% vs 0%); provision of smoking cessation medication (12% vs 0%); and counseling for smoking cessation(24% vs 2%) were all higher in the intervention group compared with the control group (P < .0001 for each).

conclusionsA system-level intervention implemented in 20 outpatient pediatric practices led to 12-fold higher rates of delivering tobacco control assistance to parents in the context of the pediatric office visit.

Indexed as

AdolescentAdultChildChild, PreschoolCombined Modality TherapyEvidence-Based MedicineFemaleHealth Plan ImplementationHumansInfantMaleMiddle AgedMotivational InterviewingNicotineParentsReferral and ConsultationNicotineTobacco Smoke Pollution

Identifiers

PMID23796741
PMCPMC3691536

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.