Evidence map›Paper›PMID 28129989›Full record

Trial reportLancet (London, England)2017

Effectiveness of personalised risk information and taster sessions to increase the uptake of smoking cessation services (Start2quit): a randomised controlled trial.

Hazel Gilbert, Stephen Sutton, Richard Morris, Irene Petersen, Simon Galton, Qi Wu, Steve Parrott, Irwin Nazareth

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lancet (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05212220 (Low-intensity Ecological Momentary Assessment), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 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.

NCT05212220 nacompletednot on this mapstarted 2022, after this paper: background citation

Low-intensity Ecological Momentary Assessment (EMA) for Smoking Cessation Intervention and Tobacco Control Policy Evaluation: a Randomized Controlled Trial Nested Within an EMA-based Observational Study

TypeinterventionalSponsorThe University of Hong KongRan2022 to 2023Enrolled459ConditionsSmoking CessationArmsEMA-based intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
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  14. Lung cancer risk score for ever and never smokers in China.Cancer communications (London, England) · 2023
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  16. Community based interventions to increase use of Quitline services.The Lancet regional health. Western Pacific · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Hazel GilbertResearch Department of Primary Care and Population Health, UCL, London, UK. Electronic address: hazel.gilbert@ucl.ac.uk.
Stephen SuttonInstitute of Public Health, University of Cambridge, Cambridge, UK.
Richard MorrisResearch Department of Primary Care and Population Health, UCL, London, UK.
Irene PetersenResearch Department of Primary Care and Population Health, UCL, London, UK.
Simon GaltonSmokefree Camden (Public Health), NHS Camden, London, UK.
Qi WuDepartment of Health Sciences, University of York, York, UK.
Steve ParrottDepartment of Health Sciences, University of York, York, UK.
Irwin NazarethResearch Department of Primary Care and Population Health, UCL, London, UK.

Funding

Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

backgroundNational Health Service Stop Smoking Services (SSSs) offer help to smokers motivated to quit; however, attendance rates are low and recent figures show a downward trend. We aimed to assess the effectiveness of a two-component personalised intervention on attendance at SSSs.

methodsWe did this randomised controlled trial in 18 SSSs in England. Current smokers (aged ≥16 years) were identified from medical records in 99 general practices and invited to participate by their general practitioner. Individuals who gave consent, were motivated to quit, and had not attended the SSS within the past 12 months, were randomly assigned (3:2), via computer-generated randomisation with permuted blocks (block size of five), to receive either an individually tailored risk letter and invitation to attend a no-commitment introductory session run by the local SSS (intervention group) or a standard generic letter advertising the local SSS (control group). Randomisation was stratified by sex. Masking of participants to receipt of a personal letter and invitation to a taster session was not possible. The personal letter was generated by a research assistant, but the remainder of the research team were masked to group allocation. General practitioners, practice staff, and SSS advisers were unaware of their patients' allocation. The primary outcome was attendance at the first session of an SSS course within 6 months from randomisation. We did analysis by intention to treat. This trial is registered with Current Controlled Trials, number ISRCTN 76561916.

findingsRecruitment, collection of baseline data, delivery of the intervention, and follow up of participants took place between Jan 31, 2011, and July 12, 2014. We randomly assigned 4384 smokers to the intervention group (n=2636) or the control group (n=1748); 4383 participants comprised the intention-to-treat population. Attendance at the first session of an SSS course was significantly higher in the intervention group than in the control group (458 [17·4%] vs 158 [9·0%] participants; unadjusted odds ratio 2·12 [95% CI 1·75-2·57]; p<0·0001).

interpretationDelivery of personalised risk information alongside an invitation to an introductory session more than doubled the odds of attending the SSS compared with a standard generic invitation to contact the service. This result suggests that a more proactive approach, combined with an opportunity to experience local services, can reduce patient barriers to receiving treatment and has high potential to increase uptake.

fundingNational Institutes of Health Research Health Technology Assessment.

Indexed as

Risk AssessmentAdolescentAdultAgedAged, 80 and overCounselingEnglandFemaleHumansMaleMiddle AgedMotivationPatient Acceptance of Health CareSmoking CessationSmoking PreventionYoung Adult

Identifiers

PMID28129989
PMCPMC5357975

What OpenQuestion holds

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LicenceCC BY
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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.