Evidence map›Paper›PMID 27419031›Full record

ArticlePreventive medicine reports2016

A randomized controlled trial of a faith-placed, lay health advisor delivered smoking cessation intervention for rural residents.

Nancy E Schoenberg, Christina R Studts, Brent J Shelton, Meng Liu, Richard Clayton, Jordan Baeker Bispo, Nell Fields, Mark Dignan, Thomas Cooper

Abstract read
In one paragraph

Article in Preventive medicine reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

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, 1 synthesis or guideline pooled it.

  1. Group behaviour therapy programmes for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Article
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  6. Article
  7. Article
  8. A Brief Educational Intervention Enhances Basic Cancer Literacy Among Kentucky Middle and High School Students.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
  9. State health disparities research in Rural America: Gaps and future directions in an era of COVID-19.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Community-Academic Partnerships: Approaches to Engagement.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2019
    Review
  15. Article
  16. Epidemiology and Implementation of Cancer Prevention in Disparate Populations and Settings.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2019
    Review
  17. Article
  18. Review
  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

9 authors.

Nancy E SchoenbergDepartment of Behavioral Science, University of Kentucky, United States.
Christina R StudtsDepartment of Health Behavior, University of Kentucky, United States.
Brent J SheltonDivision of Cancer Biostatistics, Department of Biostatistics, University of Kentucky, United States.
Meng LiuDepartment of Biostatistics, University of Kentucky, United States.
Richard ClaytonDepartment of Health Behavior, University of Kentucky, United States.
Jordan Baeker BispoPrevention Research Center, University of Kentucky, United States.
Nell FieldsFaith Moves Mountains, Whitesburg, Kentucky, United States.
Mark DignanPrevention Research Center, University of Kentucky, United States.
Thomas CooperCollege of Dentistry, University of Kentucky, United States.

Funding

Faith Moves Mountains: A CBPR Appalachian Wellness & Cancer Prevention ProgramR24MD002757 · NIMHD · UNIVERSITY OF KENTUCKY · PI SCHOENBERG, NANCY E. · 2008 to 2012
$2.8M
NIMHD NIH HHS R24 MD002757
6 · The paper itself

Abstract

introductionRural US residents smoke at higher rates than urban or suburban residents. We report results from a community-based smoking cessation intervention in Appalachian Kentucky. STUDY

designSingle-blind, group-randomized trial with outcome measurements at baseline, 17 weeks and 43 weeks. SETTING/

participantsThis faith-placed CBPR project was located in six counties of rural Appalachian Kentucky. A total of 590 individual participants clustered in 28 churches were enrolled in the study.

interventionLocal lay health advisors delivered the 12-week Cooper/Clayton Method to Stop Smoking program, leveraging sociocultural factors to improve the cultural salience of the program for Appalachian smokers. Participants met with an interventionist for one 90 min group session once per week incorporating didactic information, group discussion, and nicotine replacement therapy.

main outcome measuresThe primary outcome was self-reported smoking status. Secondary outcomes included Fagerström nicotine dependence, self-efficacy, and decisional balance.

resultsWith post-intervention data from 92% of participants, those in intervention group churches (N = 383) had 13.6 times higher odds of reporting quitting smoking one month post-intervention than participants in attention control group churches (N = 154, p < 0.0001). In addition, although only 3.2% of attention control group participants reported quitting during the control period, 15.4% of attention control participants reported quitting smoking after receiving the intervention. A significant dose effect of the 12-session Cooper/Clayton Method was detected: for each additional session completed, the odds of quitting smoking increased by 26%.

conclusionsThe Cooper/Clayton Method, delivered in rural Appalachian churches by lay health advisors, has strong potential to reduce smoking rates and improve individuals' health.

Identifiers

PMID27419031
PMCPMC4929151

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Registered trials

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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.