Evidence map›Paper›PMID 26391030›Full record

Trial reportJournal of general internal medicine2016

Teaching Medical Students to Help Patients Quit Smoking: Outcomes of a 10-School Randomized Controlled Trial.

Judith K Ockene, Rashelle B Hayes, Linda C Churchill, Sybil L Crawford, Denise G Jolicoeur, David M Murray, Abigail B Shoben, Sean P David, Kristi J Ferguson, Kathryn N Huggett and 10 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01905618 (RCT for Smoking Cessation in 10 Medical Schools), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT01905618 nacompletednot on this map

RCT for Smoking Cessation in 10 Medical Schools

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2009 to 2014Enrolled10ConditionsTobacco Use Disorder, Smoking CessationArmsWeb-based curriculum on tobacco dependence treatment, Tobacco Counseling Role Play, Preceptor Training and Teaching Medical Students, Booster Session
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  14. Tobacco Cessation Curriculum in Medical Schools: a Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 1 country.

Judith K OckeneDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. Judith.Ockene@umassmed.edu.
Rashelle B HayesDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Linda C ChurchillDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Sybil L CrawfordDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
Denise G JolicoeurDivision of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
David M MurrayBiostatistics and Bioinformatics Branch; Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Abigail B ShobenDivision of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA.
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, USA.
Kristi J FergusonUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Kathryn N HuggettDepartment of Medicine, Creighton University School of Medicine, Omaha, NE, USA.
Michael AdamsDepartment of Medicine, Georgetown University Hospital, Washington, DC, USA.
Catherine A OkuliarDepartment of Medicine, Georgetown University Hospital, Washington, DC, USA.
Robin L GrossDepartment of Medicine, Georgetown University Hospital, Washington, DC, USA.
Pat F BassLouisiana State University Health Shreveport, Shreveport, LA, USA.
Ruth B GreenbergUniversity of Louisville School of Medicine, Louisville, KY, USA.
Frank T LeoneDivision of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kola S OkuyemiDepartment of Family and Community Health, University of Minnesota School of Medicine, Minneapolis, MN, USA.
David W RudyUniversity of Kentucky College of Medicine, Lexington, KY, USA.
Jonathan B WaughClinical and Diagnostics Sciences Department, School of Health Professions, UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Alan C GellerDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA.
University of Massachusetts Chan Medical School · USGeorgetown University · USCreighton University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USHarvard University · USLouisiana State University in Shreveport · USStanford University · USThe Ohio State University · USUniversity of Alabama at Birmingham · USUniversity of Iowa · USUniversity of Kentucky · USUniversity of Louisville · USUniversity of Minnesota · USUniversity of Pennsylvania · US

Funding

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 5 R01 CA136888NCI NIH HHS R01 CA136888
6 · The paper itself

Abstract

backgroundEarly in medical education, physicians must develop competencies needed for tobacco dependence treatment.

objectiveTo assess the effect of a multi-modal tobacco dependence treatment curriculum on medical students' counseling skills.

designA group-randomized controlled trial (2010-2014) included ten U.S. medical schools that were randomized to receive either multi-modal tobacco treatment education (MME) or traditional tobacco treatment education (TE). SETTING/

participantsStudents from the classes of 2012 and 2014 at ten medical schools participated. Students from the class of 2012 (N = 1345) completed objective structured clinical examinations (OSCEs), and 50 % (N = 660) were randomly selected for pre-intervention evaluation. A total of 72.9 % of eligible students (N = 1096) from the class of 2014 completed an OSCE and 69.7 % (N = 1047) completed pre and post surveys.

interventionsThe MME included a Web-based course, a role-play classroom demonstration, and a clerkship booster session. Clerkship preceptors in MME schools participated in an academic detailing module and were encouraged to be role models for third-year students. MEASUREMENTS: The primary outcome was student tobacco treatment skills using the 5As measured by an objective structured clinical examination (OSCE) scored on a 33-item behavior checklist. Secondary outcomes were student self-reported skills for performing 5As and pharmacotherapy counseling.

resultsAlthough the difference was not statistically significant, MME students completed more tobacco counseling behaviors on the OSCE checklist (mean 8.7 [SE 0.6] vs. mean 8.0 [SE 0.6], p = 0.52) than TE students. Several of the individual Assist and Arrange items were significantly more likely to have been completed by MME students, including suggesting behavioral strategies (11.8 % vs. 4.5 %, p < 0.001) and providing information regarding quitline (21.0 % vs. 3.8 %, p < 0.001). MME students reported higher self-efficacy for Assist, Arrange, and Pharmacotherapy counseling items (ps ≤0.05). LIMITATIONS: Inclusion of only ten schools limits generalizability.

conclusionsSubsequent interventions should incorporate lessons learned from this first randomized controlled trial of a multi-modal longitudinal tobacco treatment curriculum in multiple U.S. medical schools. NIH Trial Registry Number: NCT01905618.

Indexed as

Clinical ClerkshipClinical CompetenceComputer-Assisted InstructionCounselingCurriculumEducation, Medical, UndergraduateHumansOutcome Assessment, Health CareSelf EfficacySmoking CessationStudents, MedicalTobacco Use DisorderUnited Statescounselingmedical school curriculummedical student behaviorsobjective structured clinical examinationrandomized controlled trialtobacco dependence treatment

Identifiers

PMID26391030
PMCPMC4720645
OpenAlexW1906101196

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.