Observational studyCanadian family physician Medecin de famille canadien2014
Delivering evidence-based smoking cessation treatment in primary care practice: experience of Ontario family health teams.
Observational study 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. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021Pooled it
- Appalachian Primary Care Patients' Quit Readiness and Tobacco Treatment Receipt.American journal of preventive medicine · 2025Trial
- It Is a Good Idea, but Are They Willing? Assessing Pharmacist Willingness to Deliver Colorectal Cancer Screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Provision of recent advice to quit smoking by healthcare providers in Canada: Findings from the 2022 Canada International Tobacco Control Smoking and Vaping Survey.Preventive medicine reports · 2025Article
- A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.NPJ primary care respiratory medicine · 2025Article
- A Pilot Study to Evaluate the Use of Automated Nicotine Metabolite Ratio Reporting Within Primary Care as an Implementation Strategy to Increase the Use of Tobacco Treatments.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Barriers to smoking interventions in community healthcare settings: a scoping review.Health promotion international · 2024Article
- The effectiveness of champions in implementing innovations in health care: a systematic review.Implementation science communications · 2022Review
- A conceptual model to guide research on the activities and effects of innovation champions.Implementation research and practice · 2021Article
- Closed-loop electronic referral to SmokefreeTXT for smoking cessation support: a demonstration project in outpatient care.Translational behavioral medicine · 2020Article
- Impact of comprehensive smoking cessation training of practitioners on patients' 6-month quit outcome.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Implementation of a comprehensive smoking cessation program in cancer care.Current oncology (Toronto, Ont.) · 2019Article
- Effects of motivation phase intervention components on quit attempts in smokers unwilling to quit: A factorial experiment.Drug and alcohol dependence · 2019Article
- Smoking cessation support for regular smokers in Hungarian primary care: a nationwide representative cross-sectional study.BMJ open · 2018Article
- Impact of the Tobacco Treatment Guidelines for High Risk Groups (TOB.g): A pilot study among physicians specializing in CVD, Diabetes and COPD.Tobacco prevention & cessation · 2018Article
- Factors associated with rates of tobacco treatment delivery by General Practitioners in Greece: Missed opportunities for prevention?Tobacco induced diseases · 2018Article
- Inside help: An integrative review of champions in healthcare-related implementation.SAGE open medicine · 2018Review
- Factors associated with implementation of the 5A's smoking cessation model.Tobacco induced diseases · 2017Article
- Managing smoking cessation.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Review
- Increasing Rates of Tobacco Treatment Delivery in Primary Care Practice: Evaluation of the Ottawa Model for Smoking Cessation.Annals of family medicine · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report on the delivery of evidence-based smoking cessation treatments (EBSCTs) within a sample of 40 Ontario family health teams (FHTs).
designIn each FHT, consecutive patients were screened for smoking status and eligible patients completed a questionnaire immediately following their clinic visits (index visits). Multilevel analysis was used to examine FHT-level, provider-level, and patient-level predictors of EBSCT delivery.
settingForty FHTs in Ontario.
participantsAcross the 40 participating FHTs, 24,033 patients were screened and 2501 eligible patients contributed data.
main outcome measuresProvider performance in the delivery of EBSCTs during the preceding 12 months and during the index visits was assessed.
resultsThe rate of provider delivery of EBSCT for the previous 12 months was 74.0% for the advise strategy. At the index visit, rates of EBSCT strategy delivery were 56.8% for ask; 46.9% for advise; 38.7% for assist; 11.6% for prescribing pharmacotherapy; and 11.3% for arrange follow-up. Significant intra-FHT and intraprovider variability in the rates of EBSCT delivery was identified. Family health teams with a physician champion (odds ratio [OR] 2.0; 95% CI 1.1 to 3.6; P < .01) and providers who highly ranked the importance of smoking cessation (OR 1.7; 95% CI 1.1 to 2.7; P < .01) were more likely to deliver EBSCTs. Patient readiness to quit (OR 1.6; 95% CI 1.3 to 1.9; P < .001), presence of smoking-related illness (OR 1.6; 95% CI 1.2 to 2.1; P < .01), and presenting for an annual health examination (OR 2.0; 95% CI 1.6 to 2.5; P < .001) were associated with the delivery of EBSCTs.
conclusionRates of smoking cessation advice were higher than previously reported for Canadian physicians; however, rates of assistance with quitting were lower. Future quality improvement initiatives should specifically target increasing the rates of screening and advising among low-performing FHTs and providers within FHTs, with a particular emphasis on doing so at all clinic appointments; and improving the rate at which assistance with quitting is delivered.
Indexed as
Identifiers
25022655PMC4096282W2158259146What OpenQuestion holds
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.