Evidence map›Paper›PMID 25332492›Full record

Trial reportPediatrics2014

Sustainability of a parental tobacco control intervention in pediatric practice.

Jonathan P Winickoff, Emara Nabi-Burza, Yuchiao Chang, Susan Regan, Jeremy Drehmer, Stacia Finch, Richard Wasserman, Deborah Ossip, Bethany Hipple, Heide Woo and 2 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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.

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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. A Scoping Review and Meta-analysis of the Use of Remote Biochemical Verification Methods of Smoking Status in Tobacco Research.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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  15. Spontaneous Smoking Cessation in Parents.Journal of smoking cessation · 2021
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  17. Parental Optimism and Perceived Control over Children's Initiation of Tobacco, Cannabis, and Opioid Use.International journal of environmental research and public health · 2020
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  19. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Jonathan P WinickoffCenter for Child and Adolescent Health Research and Policy, Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts; AAP Richmond Center of Excellence, and Tobacco Research and Treatment Center, and jwinickoff@partners.org.
Emara Nabi-BurzaCenter for Child and Adolescent Health Research and Policy, Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts; Tobacco Research and Treatment Center, and.
Yuchiao ChangTobacco Research and Treatment Center, and General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts;
Susan ReganTobacco Research and Treatment Center, and General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts;
Jeremy DrehmerCenter for Child and Adolescent Health Research and Policy, Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts; Tobacco Research and Treatment Center, and.
Stacia FinchPediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, Illinois;
Richard WassermanPediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, Illinois; Department of Pediatrics, University of Vermont, Burlington, Vermont;
Deborah OssipUniversity of Rochester Medical Center, Rochester, New York; and.
Bethany HippleCenter for Child and Adolescent Health Research and Policy, Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts; Tobacco Research and Treatment Center, and.
Heide WooPediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, Illinois; University of California-Los Angeles, Los Angeles, California.
Jonathan KleinAAP Richmond Center of Excellence, and.
Nancy A RigottiTobacco Research and Treatment Center, and General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts;
Massachusetts General Hospital · USTobacco Research Institute · CNAmerican Academy of Pediatrics · USUniversity of California, Los Angeles · USUniversity of Rochester Medical Center · US

Funding

Changing Pediatric Office Systems Nationally to Address Parental Tobacco UseR01CA127127 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI WINICKOFF, JONATHAN P · 2007 to 2016
$9.0M
NCI NIH HHS R01 CA127127NCI NIH HHS R01-CA127127
6 · The paper itself

Abstract

objectiveTo determine whether an evidence-based pediatric outpatient intervention for parents who smoke persisted after initial implementation.

methodsA cluster randomized controlled trial of 20 pediatric practices in 16 states that received either Clinical and Community Effort Against Secondhand Smoke Exposure (CEASE) intervention or usual care. The intervention provided practices with training to provide evidence-based assistance to parents who smoke. The primary outcome, assessed by the 12-month follow-up telephone survey with parents, was provision of meaningful tobacco control assistance, defined as discussing various strategies to quit smoking, discussing smoking cessation medication, or recommending the use of the state quitline after initial enrollment visit. We also assessed parental quit rates at 12 months, determined by self-report and biochemical verification.

resultsPractices' rates of providing any meaningful tobacco control assistance (55% vs 19%), discussing various strategies to quit smoking (25% vs 10%), discussing cessation medication (41% vs 11%), and recommending the use of the quitline (37% vs 9%) were all significantly higher in the intervention than in the control groups, respectively (P < .0001 for each), during the 12-month postintervention implementation. Receiving any assistance was associated with a cotinine-confirmed quitting adjusted odds ratio of 1.89 (95% confidence interval: 1.13-3.19). After controlling for demographic and behavioral factors, the adjusted odds ratio for cotinine-confirmed quitting in intervention versus control practices was 1.07 (95% confidence interval: 0.64-1.78).

conclusionsIntervention practices had higher rates of delivering tobacco control assistance than usual care practices over the 1-year follow-up period. Parents who received any assistance were more likely to quit smoking; however, parents' likelihood of quitting smoking was not statistically different between the intervention and control groups. Maximizing parental quit rates will require more complete systems-level integration and adjunctive cessation strategies.

Indexed as

MotivationParent-Child RelationsAdolescentAdultAgedData CollectionFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Education as TopicPediatricsSmokingSmoking CessationYoung Adultparental smokingsecondhand smokesmoking cessation

Identifiers

PMID25332492
PMCPMC4210792
OpenAlexW2064571513

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.