Evidence map›Paper›PMID 26931362›Full record

Trial reportThorax2016

Proactive tobacco treatment offering free nicotine replacement therapy and telephone counselling for socioeconomically disadvantaged smokers: a randomised clinical trial.

Steven S Fu, Michelle van Ryn, David Nelson, Diana J Burgess, Janet L Thomas, Jessie Saul, Barbara Clothier, John A Nyman, Patrick Hammett, Anne M Joseph

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Thorax, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01123967 (Improved Effectiveness of Smoking Cessation Programs for Minnesota Priority Populations), which is not on this map. Cited by 55 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT01123967 nacompletednot on this map

Improved Effectiveness of Smoking Cessation Programs for Minnesota Priority Populations

TypeinterventionalSponsorUniversity of MinnesotaRan2011 to 2014Enrolled2,500ConditionsTobacco Use CessationArmsproactive outreach (PRO), telephone counseling (TC), Nicotine replacement therapy (NRT), Usual care (UC)
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
  5. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Pooled it
  7. Trial
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  9. A Proactive Outreach Strategy Using a Local Area Code to Refer Unassisted Smokers in a Safety Net Health System to a Quitline: A Pragmatic Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
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  14. Proactive tobacco treatment for veterans with posttraumatic stress disorder.Psychological trauma : theory, research, practice and policy · 2021
    Trial
  15. Proactively Offered Text Messages and Mailed Nicotine Replacement Therapy for Smokers in Primary Care Practices: A Pilot Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  16. Trial
  17. Proactive Tobacco Treatment in a Behavioral Health Home.Community mental health journal · 2020
    Trial
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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

10 authors.

Steven S FuVA HSR&D Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota, USA Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Michelle van RynDivision of Health Care Policy & Research, Mayo Clinic, Rochester, Minnesota, USA.
David NelsonVA HSR&D Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota, USA Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Diana J BurgessVA HSR&D Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota, USA Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Janet L ThomasDepartment of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Jessie SaulNorth American Quitline Consortium, Phoenix, Arizona, USA.
Barbara ClothierVA HSR&D Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota, USA.
John A NymanDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.
Patrick HammettDepartment of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Anne M JosephDepartment of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.

Funding

Effectiveness of Proactive Tobacco Treatment in Diverse Low Income SmokersR01CA141527 · NCI · UNIVERSITY OF MINNESOTA · PI FU, STEVEN, JOSEPH, ANNE · 2009 to 2014
$2.4M
NCI NIH HHS 5R01CA141527NCI NIH HHS R01 CA141527
6 · The paper itself

Abstract

backgroundEvidenced-based tobacco cessation treatments are underused, especially by socioeconomically disadvantaged smokers. This contributes to widening socioeconomic disparities in tobacco-related morbidity and mortality.

methodsThe Offering Proactive Treatment Intervention trial tested the effects of a proactive outreach tobacco treatment intervention on population-level smoking abstinence and tobacco treatment use among a population-based sample of socioeconomically disadvantaged smokers. Current smokers (n=2406), regardless of interest in quitting, who were enrolled in the Minnesota Health Care Programs, the state's publicly funded healthcare programmes for low-income populations, were randomly assigned to proactive outreach or usual care. The intervention comprised proactive outreach (tailored mailings and telephone calls) and free cessation treatment (nicotine replacement therapy and intensive, telephone counselling). Usual care comprised access to a primary care physician, insurance coverage of Food and Drug Administration-approved smoking cessation medications, and the state's telephone quitline. The primary outcome was self-reported 6-month prolonged smoking abstinence at 1 year and was assessed by follow-up survey.

findingsThe proactive intervention group had a higher prolonged abstinence rate at 1 year than usual care (16.5% vs 12.1%, OR 1.47, 95% CI 1.12 to 1.93). The effect of the proactive intervention on prolonged abstinence persisted in selection models accounting for non-response. In analysis of secondary outcomes, use of evidence-based tobacco cessation treatments were significantly greater among proactive outreach participants compared with usual care, particularly combination counselling and medications (17.4% vs 3.6%, OR 5.69, 95% CI 3.85 to 8.40).

interpretationPopulation-based proactive tobacco treatment increases engagement in evidence-based treatment and is effective in long-term smoking cessation among socioeconomically disadvantaged smokers. Findings suggest that dissemination of population-based proactive treatment approaches is an effective strategy to reduce the prevalence of smoking and socioeconomic disparities in tobacco use. TRIAL REGISTRATION NUMBER: NCT01123967.

Indexed as

CounselingPovertyTelephoneTobacco Use Cessation DevicesVulnerable PopulationsAdolescentAdultFemaleHealth Care SurveysHumansMaleMiddle AgedMinnesotaSmoking CessationTobacco Use DisorderTreatment OutcomeSmoking cessationTobacco control

Identifiers

PMID26931362
PMCPMC4862067

What OpenQuestion holds

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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.