Evidence map›Paper›PMID 23987302›Full record

Trial reportBMC public health2013

Kids Safe and Smokefree (KiSS): a randomized controlled trial of a multilevel intervention to reduce secondhand tobacco smoke exposure in children.

Stephen J Lepore, Jonathan P Winickoff, Beth Moughan, Tyra C Bryant-Stephens, Daniel R Taylor, David Fleece, Adam Davey, Uma S Nair, Melissa Godfrey, Bradley N Collins

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

Trial report in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01745393 (Pediatrician Advice, Family Counseling & SHS Reduction for Underserved Children), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.8field-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.

NCT01745393 nacompletednot on this map

Pediatrician Advice, Family Counseling & SHS Reduction for Underserved Children

TypeinterventionalSponsorTemple UniversityRan2012 to 2016Enrolled327ConditionsSecond Hand Tobacco Smoke, Nicotine DependenceArmsClinic Quality Improvement + Behavioral Counseling, Clinic Quality Improvement + Attention Control
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
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  10. Combination Extended Smoking Cessation Treatment Plus Home Visits for Smokers With Schizophrenia: A Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Trial
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  14. Article
  15. Validation and Psychometric Properties of the Tobacco Urge Management Scale (TUMS).International journal of environmental research and public health · 2023
    Article
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  18. Disseminating a Smoke-free Homes Program to Low Socioeconomic Status Households in the United States Through 2-1-1: Results of a National Impact Evaluation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
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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

10 authors at 4 institutions in 1 country.

Stephen J LeporeDepartment of Public Health, Temple University, 1301 Cecil B, Moore Ave, Ritter Annex, 9th Floor, Philadelphia, PA, 19122, USA. slepore@temple.edu.
Jonathan P Winickoff
Beth Moughan
Tyra C Bryant-Stephens
Daniel R Taylor
David Fleece
Adam Davey
Uma S Nair
Melissa Godfrey
Bradley N Collins
Temple University · USChildren's Hospital of Philadelphia · USMassachusetts General Hospital · USSt. Christopher's Hospital for Children · US

Funding

Pediatrician Advice, Family Counseling, & SHS Reduction for Underserved ChildrenR01CA158361 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI COLLINS, BRADLEY N, LEPORE, STEPHEN J · 2012 to 2016
$2.3M
NCI NIH HHS CA158361NCI NIH HHS R01 CA158361
6 · The paper itself

Abstract

backgroundSecondhand smoke exposure (SHSe) harms children's health, yet effective interventions to reduce child SHSe in the home and car have proven difficult to operationalize in pediatric practice. A multilevel intervention combining pediatric healthcare providers' advice with behavioral counseling and navigation to pharmacological cessation aids may improve SHSe control in pediatric populations. METHODS/

designThis trial uses a randomized, two-group design with three measurement periods: pre-intervention, end of treatment and 12-month follow-up. Smoking parents of children < 11-years-old are recruited from pediatric clinics. The clinic-level intervention includes integrating tobacco intervention guideline prompts into electronic health record screens. The prompts guide providers to ask all parents about child SHSe, advise about SHSe harms, and refer smokers to cessation resources. After receiving clinic intervention, eligible parents are randomized to receive: (a) a 3-month telephone-based behavioral counseling intervention designed to promote reduction in child SHSe, parent smoking cessation, and navigation to access nicotine replacement therapy or cessation medication or (b) an attention control nutrition education intervention. Healthcare providers and assessors are blind to group assignment. Cotinine is used to bioverify child SHSe (primary outcome) and parent quit status. DISCUSSION: This study tests an innovative multilevel approach to reducing child SHSe. The approach is sustainable, because clinics can easily integrate the tobacco intervention prompts related to "ask, advise, and refer" guidelines into electronic health records and refer smokers to free evidence-based behavioral counseling interventions, such as state quitlines.

trial registrationNCT01745393 (clinicaltrials.gov).

Indexed as

Practice Patterns, Physicians'AdultChildChild Health ServicesChild, PreschoolFemaleHealth EducationHumansInfantInfant, NewbornMaleParentsPhiladelphiaRandomized Controlled Trials as TopicResearch DesignSmoking CessationTobacco Smoke Pollution

Identifiers

PMID23987302
PMCPMC3844378
OpenAlexW2078628899

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.