Evidence map›Paper›PMID 27184343›Full record

Trial reportAddiction (Abingdon, England)2016

Motivating parents of kids with asthma to quit smoking: the effect of the teachable moment and increasing intervention intensity using a longitudinal randomized trial design.

Belinda Borrelli, Elizabeth L McQuaid, Erin M Tooley, Andrew M Busch, S Katharine Hammond, Bruce Becker, Shira Dunsiger

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  8. Parental Depression is Prospectively Associated With Lower Smoking Cessation Rates and Poor Child Asthma Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Trial
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  11. Article
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  15. Patient-Physician Discussions on Lung Cancer Screening: A Missed Teachable Moment to Promote Smoking Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  16. Smokers with children with asthma: Parental perceptions about prototype intervention messages focused on reducing child tobacco exposure and use.Journal of child health care : for professionals working with children in the hospital and community · 2020
    Observational
  17. Motivational interviewing for smoking cessation.The Cochrane database of systematic reviews · 2019
    Review
  18. Article
  19. 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

7 authors at 4 institutions in 1 country.

Belinda BorrelliCenters for Behavioral and Preventive Medicine, Alpert Medical School at Brown University and The Miriam Hospital, Providence, RI, USA.
Elizabeth L McQuaidBradley/Hasbro Children's Research Center, Rhode Island Hospital, and Alpert Medical School at Brown University, Providence, RI, USA.
Erin M TooleyRoger Williams University, Bristol, RI, USA.
Andrew M BuschCenters for Behavioral and Preventive Medicine, Alpert Medical School at Brown University and The Miriam Hospital, Providence, RI, USA.
S Katharine HammondEnvironmental Health Sciences Division, School of Public Health, University of California, Berkeley, CA, USA.
Bruce BeckerDepartment of Emergency Medicine, Rhode Island Hospital and Alpert Medical School at Brown University, Providence, RI, USA.
Shira DunsigerCenters for Behavioral and Preventive Medicine, Alpert Medical School at Brown University and The Miriam Hospital, Providence, RI, USA.
Brown University · USBerkeley Public Health Division · USBoston University · USRoger Williams University · US

Funding

Sustaining Cessation in Smokers With Kids With AsthmaR01HL062165 · NHLBI · MIRIAM HOSPITAL · PI BORRELLI, BELINDA · 1999 to 2009
$4.5M
NHLBI NIH HHS R01 HL062165
6 · The paper itself

Abstract

aimsWe tested two aims: (1) the teachable moment (TM): whether second-hand smoke exposure (SHSe) feedback motivates cessation in parents of children with asthma versus parents of healthy children (HC); and (2) whether greater intervention intensity [enhanced-precaution adoption model (PAM)] produces greater cessation than a previously tested intervention (PAM). DESIGN AND

interventionsAim 1: two home visits (asthma education or child wellness), and cessation induction using motivational interviewing and SHSe feedback. Aim 2: post-home-visits, parents with asthmatic children were randomized to PAM (n = 171; six asthma education calls) or enhanced-PAM (n = 170; six asthma education/smoking cessation calls + repeat SHSe feedback).

settingRhode Island, USA.

participantsParents of asthmatic (n = 341) or healthy (n = 219) children who did not have to want to quit smoking to enroll. MEASUREMENTS: Measurements were given at baseline, 2, 4, 6 and 12 months. Abstinence was bioverified. Outcomes were 7-day and 30-day point prevalence abstinence (ppa) and SHSe (primary) and asthma morbidity (secondary).

findingsAim 1: the TM was supported: parents of asthmatic children were more than twice as likely to achieve 30-day [odds ratio (OR) = 2.60, 95% confidence interval (CI) = 1.22-5.54] and 7-day ppa (OR = 2.26, 95% CI = 1.13-4.51) at 2 months (primary end-point) and have non-detectable levels of SHSe than HCs. Greater treatment intensity yielded stronger TM effects (OR = 3.60; 95% CI = 1.72-7.55). Aim 2: enhanced-PAM was more likely to achieve 30-day ppa at the primary end-point, 4 months (OR = 2.12, 95% CI 1.09-4.12) and improved asthma outcomes versus PAM.

conclusionsSmoking cessation intervention (Motivational Interviewing plus biomarker feedback) appear to motivate smoking cessation more strongly among parents of asthmatic children than among parents of healthy children. Increased intervention intensity yields greater smoking cessation among parents of asthmatic children and better asthma outcomes.

Indexed as

AsthmaMotivationParentsSmoking CessationAdultChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleMiddle AgedMotivational InterviewingOdds RatioSmokingTobacco Smoke PollutionTobacco Smoke PollutionFeedbackmotivational interviewingpediatric asthmarisk perceptionsecond-hand smokesmoking cessationteachable moment

Identifiers

PMID27184343
PMCPMC5404816
OpenAlexW2398880095

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.