Evidence map›Paper›PMID 24629480›Full record

Trial reportAddictive behaviors2014

Behavioral cessation treatment of waterpipe smoking: The first pilot randomized controlled trial.

Taghrid Asfar, Radwan Al Ali, Samer Rastam, Wasim Maziak, Kenneth D Ward

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Interventions for waterpipe smoking cessation.The Cochrane database of systematic reviews · 2023
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  5. Interventions for waterpipe smoking cessation.The Cochrane database of systematic reviews · 2015
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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

5 authors.

Taghrid AsfarSyrian Center for Tobacco Studies, Aleppo, Syria; Department of Epidemiology & Public Health, Miller School of Medicine, University of Miami, Miami, FL, USA.
Radwan Al AliSyrian Center for Tobacco Studies, Aleppo, Syria.
Samer RastamSyrian Center for Tobacco Studies, Aleppo, Syria.
Wasim MaziakSyrian Center for Tobacco Studies, Aleppo, Syria; Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.
Kenneth D WardSyrian Center for Tobacco Studies, Aleppo, Syria; Division of Social and Behavioral Sciences, School of Public Health, University of Memphis, Memphis, TN, USA. Electronic address: kdward@memphis.edu.

Funding

Responding to the changing tobacco epidemic in the Eastern Mediterranean RegionR01DA024876 · NIDA · UNIVERSITY OF MEMPHIS · PI MAZIAK, WASIM · 2007 to 2011
$1.6M
Advancing addiction research and capacity to guide tobacco control in the EasternR01DA035160 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI MAZIAK, WASIM · 2012 to 2017
$1.5M
NIDA NIH HHS R01 DA024876NIDA NIH HHS R01 DA035160
6 · The paper itself

Abstract

backgroundWaterpipe use has increased dramatically in the Middle East and other parts of the world. Many users exhibit signs of dependence, including withdrawal and difficulty quitting, but there is no evidence base to guide cessation efforts.

methodsWe developed a behavioral cessation program for willing-to-quit waterpipe users, and evaluated its feasibility and efficacy in a pilot, two arm, parallel group, randomized, open label trial in Aleppo, Syria. Fifty adults who smoked waterpipe ≥3 times per week in the last year, did not smoke cigarettes, and were interested in quitting were randomized to receive either brief (1 in-person session and 3 phone calls) or intensive (3 in-person sessions and 5 phone calls) behavioral cessation treatment delivered by a trained physician in a clinical setting. The primary efficacy end point of the developed interventions was prolonged abstinence at three months post-quit day, assessed by self-report and exhaled carbon monoxide levels of <10 ppm. Secondary end points were 7 day point-prevalent abstinence and adherence to treatment.

resultsThirty percent of participants were fully adherent to treatment, which did not vary by treatment group. The proportions of participants in the brief and intensive interventions with prolonged abstinence at the 3-month assessment were 30.4% and 44.4%, respectively. Previous success in quitting (OR=3.57; 95% CI=1.03-12.43) predicted cessation. Higher baseline readiness to quit, more confidence in quitting, and being unemployed predicted a better adherence to treatment (all p-values <0.05).

conclusionsBrief behavioral cessation treatment for waterpipe users appears to be feasible and effective.

Indexed as

AdultBehavior TherapyEmploymentFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMotivationPatient CompliancePilot ProjectsSelf ConceptSmokingSmoking CessationTreatment OutcomeBehavioral treatmentCessationRandomized controlled trialWaterpipe

Identifiers

PMID24629480
PMCPMC4141480

What OpenQuestion holds

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Registered trials

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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.