Evidence map›Paper›PMID 25572623›Full record

Trial reportPreventive medicine2015

Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students.

Rashelle B Hayes, Alan C Geller, Sybil L Crawford, Denise G Jolicoeur, Linda C Churchill, Kolawole S Okuyemi, Sean P David, Michael Adams, Jonathan Waugh, Sharon S Allen and 5 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Situating tobacco dependency education in health professional prelicensure curricula: An interprofessional learning opportunity.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2015
    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

15 authors at 8 institutions in 1 country.

Rashelle B HayesDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Rashelle.Hayes@umassmed.edu.
Alan C GellerDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, United States.
Sybil L CrawfordDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Denise G JolicoeurDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Linda C ChurchillDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Kolawole S OkuyemiFamily Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States.
Sean P DavidCenter for Education & Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
Michael AdamsDivision of General Internal Medicine, Department of Medicine, Georgetown University Hospital, United States.
Jonathan WaughDepartment of Clinical and Diagnostics Sciences/UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, United States.
Sharon S AllenFamily Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States.
Frank T LeoneDivision of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Randy FauverCenter for Education & Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
Katherine LeungDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
Qin LiuWistar Institute, Philadelphia, PA, United States.
Judith K OckeneDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States.
University of Massachusetts Chan Medical School · USStanford University · USUniversity of Minnesota Medical Center · USGeorgetown University · USHarvard University · USThe Wistar Institute · USUniversity of Alabama at Birmingham · USUniversity of Pennsylvania · US

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Aaron Robert Goldman · 1985 to 2026
$75.9M
RCT for Smoking Cessation in 10 Medical SchoolsR01CA136888 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI OCKENE, JUDITH K · 2009 to 2013
$4.2M
NCI NIH HHS 5R01 CA136888NCI NIH HHS 5R01CA136888-SNCI NIH HHS P30 CA010815NCI NIH HHS R01 CA136888
6 · The paper itself

Abstract

objectivePhysicians play a critical role in addressing tobacco dependence, yet report limited training. Tobacco dependence treatment curricula for medical students could improve performance in this area. This study identified student and medical school tobacco treatment curricula characteristics associated with intentions and use of the 5As for tobacco treatment among 3rd year U.S. medical students.

methodsThird year medical students (N=1065, 49.3% male) from 10 U.S. medical schools completed a survey in 2009-2010 assessing student characteristics, including demographics, tobacco treatment knowledge, and self-efficacy. Tobacco curricula characteristics assessed included amount and type of classroom instruction, frequency of tobacco treatment observation, instruction, and perception of preceptors as role models.

resultsGreater tobacco treatment knowledge, self-efficacy, and curriculum-specific variables were associated with 5A intentions, while younger age, tobacco treatment self-efficacy, intentions, and each curriculum-specific variable were associated with greater 5A behaviors. When controlling for important student variables, greater frequency of receiving 5A instruction (OR=1.07; 95%CI 1.01-1.12) and perception of preceptors as excellent role models in tobacco treatment (OR=1.35; 95%CI 1.04-1.75) were significant curriculum predictors of 5A intentions. Greater 5A instruction (B=.06 (.03); p<.05) and observation of tobacco treatment (B=.35 (.02); p<.001) were significant curriculum predictors of greater 5A behaviors.

conclusionsGreater exposure to tobacco treatment teaching during medical school is associated with both greater intentions to use and practice tobacco 5As. Clerkship preceptors, or those physicians who provide training to medical students, may be particularly influential when they personally model and instruct students in tobacco dependence treatment.

Indexed as

Clinical CompetenceCurriculumEducation, Medical, UndergraduateAdultClinical ClerkshipCross-Sectional StudiesFemaleHumansMaleMiddle AgedRegression AnalysisSelf EfficacySmoking CessationTobacco Use DisorderUnited StatesYoung AdultMedical school curriculum and educationMedical studentsTobacco dependence treatment

Identifiers

PMID25572623
PMCPMC4562320
OpenAlexW2074793086

What OpenQuestion holds

Textmetadata
LicenceTDM
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.