Evidence map›Paper›PMID 27708113›Full record

Trial reportThorax2017

Effectiveness of a brief community outreach tobacco cessation intervention in India: a cluster-randomised controlled trial (the BABEX Trial).

Bidyut K Sarkar, Robert West, Monika Arora, Jasjit S Ahluwalia, K Srinath Reddy, Lion Shahab

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
2.7field-weighted citation impact, top 10% 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

34 citing papers in PubMed, 7 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Guideline
  2. Interventions for smokeless tobacco use cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Behavioral Interventions for Tobacco Cessation in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Pooled it
  4. Mindfulness for smoking cessation.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Smokeless tobacco cessation interventions: A systematic review.The Indian journal of medical research · 2018
    Pooled it
  8. Trial
  9. A Pilot Randomized Clinical Trial of Brief Interventions to Encourage Quit Attempts in Smokers From Socioeconomic Disadvantage.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  10. Trial
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Smoking cessation among people with mental illness: A South African perspective.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Bidyut K SarkarPublic Health Foundation of India, New Delhi, India.
Robert WestDepartment of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, London, UK.
Monika AroraPublic Health Foundation of India, New Delhi, India.
Jasjit S AhluwaliaSchool of Public Health, Rutgers University, New Brunswick, USA.
K Srinath ReddyPublic Health Foundation of India, New Delhi, India.
Lion ShahabDepartment of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, London, UK.
Cancer Research UK · GBPublic Health Foundation of India · INRutgers, The State University of New Jersey · USUniversity College London · GB

Funding

Cancer Research UK 14135Cancer Research UK 22962Wellcome Trust
6 · The paper itself

Abstract

backgroundTobacco use kills half a million people every month, most in low-middle income countries (LMICs). There is an urgent need to identify potentially low-cost, scalable tobacco cessation interventions for these countries.

objectiveTo evaluate a brief community outreach intervention delivered by health workers to promote tobacco cessation in India.

designCluster-randomised controlled trial.

setting32 low-income administrative blocks in Delhi, half government authorised ('resettlement colony') and half unauthorised ('J.J. cluster') communities.

participants1213 adult tobacco users.

interventionsAdministrative blocks were computer randomised in a 1:1 ratio, to the intervention (16 clusters; n=611) or control treatment (16 clusters; n=602), delivered and assessed at individual level between 07/2012 and 11/2013. The intervention was single session quit advice (15 min) plus a single training session in yogic breathing exercises; the control condition comprised very brief quit advice (1 min) alone. Both were delivered via outreach, with contact made though household visits. MEASUREMENTS: The primary outcome was 6-month sustained abstinence from all tobacco, assessed 7 months post intervention delivery, biochemically verified with salivary cotinine.

resultsThe smoking cessation rate was higher in the intervention group (2.6% (16/611)) than in the control group (0.5% (3/602)) (relative risk=5.32, 95% CI 1.43 to 19.74, p=0.013). There was no interaction with type of tobacco use (smoked vs smokeless). Results did not change materially in adjusted analyses, controlling for participant characteristics.

conclusionsA single session community outreach intervention can increase tobacco cessation in LMIC. The effect size, while small, could impact public health if scaled up with high coverage. TRIAL REGISTRATION NUMBER: ISRCTCN23362894.

Indexed as

Breathing ExercisesAdultEnzyme-Linked Immunosorbent AssayFemaleHumansIndiaMaleMiddle AgedPoverty AreasTobacco Use CessationTreatment OutcomeSmoking cessationTobacco control

Identifiers

PMID27708113
PMCPMC5284331
OpenAlexW2528827989

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.