Evidence map›Paper›PMID 26180220›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2015

Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers.

Mary F Brunette, Nino Dzebisashvili, Haiyi Xie, Sarah Akerman, Joelle C Ferron, Stephen Bartels

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Interventions to Reduce Tobacco-Related Health Disparities.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 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

6 authors at 1 institution in 1 country.

Mary F BrunetteDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH; Department of Health and Human Services, Bureau of Behavioral Health, Concord, NH Mary.f.brunette@dartmouth.edu.
Nino DzebisashviliDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH;
Haiyi XieDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH;
Sarah AkermanDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH;
Joelle C FerronDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH;
Stephen BartelsDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH;
Dartmouth College · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Statewide Intervention to Reduce Early Mortality in Persons with Mental IllnessR01MH089811 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2010 to 2014
$2.7M
NCATS NIH HHS UL1 TR001086NIMH NIH HHS R01 MH 089811NIMH NIH HHS R01 MH089811
6 · The paper itself

Abstract

introductionSmoking cessation pharmacotherapy is underutilized by people with mental illnesses, who smoke at high rates and die prematurely of smoking-related diseases. Educational outreach can improve prescribing, but distances impede widespread use of this practice. Little research has assessed whether videoconference can effectively deliver educational outreach. We conducted a randomized, controlled trial of in-person versus videoconference educational outreach for smoking cessation pharmacotherapy across a state mental health system.

methodsWe randomly assigned clinics to receive in-person or videoconference educational outreach with audit and feedback for cessation pharmacotherapy. Prescribers completed brief questionnaires before and after the intervention. With segmented regression analysis of interrupted time series, we evaluated prescribing trends in Medicaid pharmacy claims for nicotine replacement therapy (NRT) and varenicline, with interaction terms for the effect of intervention type (in-person vs. videoconference).

resultsWith interaction terms in the model, filled NRT prescriptions increased after the intervention compared to before (p < .01). The pattern of fills after the intervention were different at centers receiving in-person compared to videoconference educational outreach (p < .02) without clearly favoring one over the other. Additionally, filled varenicline prescriptions increased after the intervention compared to before (p = .04), but type of intervention delivery did not influence varenicline fills. Prescriber satisfaction with the educational intervention was high and prescriber attitudes became more positive in both groups.

conclusionThis study suggests that single session educational outreach with audit and feedback can increase cessation pharmacotherapy utilization, and that videoconference delivery could be an effective, scalable approach to improve workforce capacity in systems serving mentally ill smokers.

Indexed as

PrescriptionsVideoconferencingAdultCommunity Mental Health ServicesFemaleHumansMaleMedicaidMental DisordersMiddle AgedPsychiatrySmokingSmoking CessationTobacco Use DisorderUnited StatesVareniclineVarenicline

Identifiers

PMID26180220
PMCPMC4580544
OpenAlexW2338994306

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.