Evidence map›Paper›PMID 27613888›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2017

Combination Extended Smoking Cessation Treatment Plus Home Visits for Smokers With Schizophrenia: A Randomized Controlled Trial.

Arthur L Brody, Todd Zorick, Robert Hubert, Gerhard S Hellemann, Shabnam Balali, Sarah S Kawasaki, Lizette Y Garcia, Ryutaro Enoki, Paul Abraham, Paulina Young and 1 more

Registry-linked trialOpen 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01721473 (Nicotinic Acetylcholine Receptor Density and Veteran Cigarette Smokers), which is not on this map. Cited by 12 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 7 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT01721473 completednot on this map

Nicotinic Acetylcholine Receptor Density and Veteran Cigarette Smokers

TypeobservationalSponsorVA Office of Research and DevelopmentRan2012 to 2016Enrolled184ConditionsPositron Emission TomographyArmspositron emission tomography scan
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 7 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Smoking cessation for improving mental health.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. COPD and Schizophrenia.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025
    Article
  10. Article
  11. Review
  12. 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

11 authors at 3 institutions in 1 country.

Arthur L BrodyDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA; abrody@ucsd.edu.
Todd ZorickDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Robert HubertDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Gerhard S HellemannDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Shabnam BalaliDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Sarah S KawasakiDepartment of Primary Care, Health Care for the Homeless, Baltimore, MD.
Lizette Y GarciaDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Ryutaro EnokiDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Paul AbrahamDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Paulina YoungDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Charles McCrearyDepartment of Psychiatry, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
VA Greater Los Angeles Healthcare System · USBoston Health Care for the Homeless Program · USUniversity of California, San Diego · US

Funding

Nicotine Receptor Density & Dopamine System Function in Smokers: Treatment EffectR01DA020872 · NIDA · BRENTWOOD BIOMEDICAL RESEARCH INSTITUTE · PI BRODY, ARTHUR · 2005 to 2013
$2.0M
CSRD VA I01 CX000412NIDA NIH HHS R01 DA020872
6 · The paper itself

Abstract

introductionThe majority of people with schizophrenia have a diagnosis of tobacco dependence during their lifetime. A major obstacle to reducing the burden of cigarette smoking in this population is that these smokers have lower quit rates when undergoing standard treatment compared to smokers with no mental illness. We sought to determine if combination extended treatment (COMB-EXT) and home visits (HV) would lead to improved outcomes in smokers with schizophrenia.

methodsThirty-four cigarette smokers with schizophrenia completed either COMB-EXT with HV, COMB-EXT without HV, or treatment as usual (TAU) (random assignment). COMB-EXT consisted of group cognitive-behavioral therapy (CBT), bupropion, nicotine patch, and nicotine lozenge, which were initiated within 2 weeks and continued for 26 weekly visits. HV consisted of biweekly visits to the home with assessment of secondhand smoke (SHS) exposure and brief behavioral therapy with participants and others in the home environment. TAU consisted of group CBT plus serial single or combination medication trials as per standard care.

resultsSmokers with schizophrenia who received COMB-EXT (with or without HV) had greater reductions in cigarettes per day than those treated with TAU (both ps < .01). In addition, 7-day point prevalence abstinence rates for the three groups were 45%, 20%, and 8%, respectively, which was significantly higher for COMB-EXT plus HV than TAU (χ

conclusionCOMB-EXT improves outcomes for smokers with schizophrenia. HV appeared to provide additional benefit for smoking cessation in this treatment-resistant population. IMPLICATIONS: The clear benefit found here of rapidly initiated, combination, extended treatment over TAU suggests that aggressive and extended treatment should be considered in clinical practice for smokers with schizophrenia. Furthermore, HV to address SHS exposure showed initial promise for assisting smokers with schizophrenia in maintaining abstinence, indicating that this intervention may be worthy of future research.

Indexed as

House CallsSchizophrenic PsychologySmoking PreventionAdultAgedBupropionCognitive Behavioral TherapyCombined Modality TherapyDiagnosis, Dual (Psychiatry)HumansMaleMiddle AgedNicotineSmokingSmoking CessationTobacco Use Cessation DevicesBupropionNicotine

Identifiers

PMID27613888
PMCPMC5157714
OpenAlexW2483379665

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.