Evidence map›Paper›PMID 25022640›Full record

Trial reportCanadian family physician Medecin de famille canadien2014

Tobacco use disorder treatment in primary care: implementing a clinical system pathway in Alberta.

Diane Kunyk, Charl Els, Sophia Papadakis, Peter Selby

Registry-linked trialOpen access · greenAbstract readClinical Trial
PubMed Full text at PMC
In one paragraph

Trial report in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03670316 (Effectiveness of a Smoking Cessation Algorithm Integrated Into HIV Primary Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 9% 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.

NCT03670316 phase4completednot on this mapstarted 2020, after this paper: background citation

Effectiveness of a Smoking Cessation Algorithm Integrated Into HIV Primary Care

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2020 to 2025Enrolled371ConditionsHIV, AIDS, Smoking CessationArmsAlgorithm Treatment, Quitline only
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 3 institutions in 2 countries.

Diane KunykAssistant Professor in the Faculty of Nursing, Adjunct Professor in the John Dossetor Health Ethics Centre, and Associate Researcher in the Centre for Effective Business Management of Addiction Treatment at the University of Alberta in Edmonton. diane.kunyk@ualberta.ca.
Charl ElsAcademic faculty member in the Faculty of Medicine and Dentistry, the School of Public Health, and the John Dossetor Health Ethics Centre at the University of Alberta.
Sophia PapadakisAssistant Professor in the Division of Cardiology in the Faculty of Medicine at the University of Ottawa in Ontario and Program Director for the Chaplin CVD Prevention Network Primary Care Smoking Cessation Program in the Division of Prevention and Rehabilitation at the Ottawa Heart Institute.
Peter SelbyChief of the Addictions Program and Clinician Scientist at the Centre for Addiction and Mental Health in Toronto, Ont, Associate Professor in the Department of Family and Community Medicine, the Department of Psychiatry, and the Dalla Lana School of Public Health at the University of Toronto, and Principal Investigator at the Ontario Tobacco Research Unit.
The Centre for Health (New Zealand) · NZCentre for Addiction and Mental Health · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test a team-based, site-specific, multicomponent clinical system pathway designed for enhancing tobacco use disorder treatment by primary care physicians.

designA prospective cohort study.

settingSixty primary care sites in Alberta.

participantsA convenience sample of 198 primary care physicians from the population of 2857.

main outcome measuresData collection occurred between September 2010 and February 2012 on 3 distinct measures. Twenty-four weeks after the intervention, audits of the primary care practices assessed the adoption and sustainability of 10 tobacco clinical system pathway components, a survey measured changes in physicians' treatment intentions, and patient chart reviews examined changes in physicians' consistency with the treatment algorithm.

resultsThe completion rate by physicians was 89.4%. An intention-to-treat approach was undertaken for statistical analysis. Intervention uptake was demonstrated by positive changes at 4 weeks in how many of the 10 clinical system measures were performed (mean [SD] = 4.22 [1.60] vs 8.57 [1.46]; P < .001). Physicians demonstrated significant favourable changes in 9 of the 12 measures of treatment intention (P < .05). The 18 282 chart reviews documented significant increases in 6 of the 8 algorithm components.

conclusionOur findings suggest that the provision of a tobacco clinical system pathway that incorporates other members of the health care team and builds on existing office infrastructures will support positive and sustainable changes in tobacco use disorder treatment by physicians in primary care. This study reaffirms the substantive and important role of supporting how treatment is delivered in physicians' practices.

Indexed as

Critical PathwaysPractice Patterns, Physicians'AlbertaAlgorithmsAttitude of Health PersonnelHumansIntention to Treat AnalysisPrimary Health CareProspective StudiesTobacco Use Disorder

Identifiers

PMID25022640
PMCPMC4096266
OpenAlexW2132511120

What OpenQuestion holds

Textmetadata
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.