Evidence map›Paper›PMID 28521782›Full record

Trial reportImplementation science : IS2017

Combining alcohol interventions with tobacco addictions treatment in primary care-the COMBAT study: a pragmatic cluster randomized trial.

Nadia Minian, Dolly Baliunas, Laurie Zawertailo, Aliya Noormohamed, Norman Giesbrecht, Christian S Hendershot, Bernard Le Foll, Jürgen Rehm, Andriy Samokhvalov, Peter L Selby

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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.

NCT03108144 nacompletednot on this map

Personalized Patient Alerts and Care Pathways to Prompt Prevention Interventions for Combined Alcohol and Tobacco Users in Primary Care

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2016 to 2018Enrolled15,222ConditionsCancerArmsBrief alcohol intervention
NCT04594304 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Screening While You Wait 2: Alcohol and Tobacco Use

TypeinterventionalSponsorWomen's College HospitalRan2020 to 2021Enrolled360ConditionsAlcohol, Harmful Use, Tobacco Use, Tobacco Use CessationArmsBehavioral: Usual care plus eToolkit
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. 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

10 authors at 1 institution in 1 country.

Nadia MinianCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Dolly BaliunasCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Laurie ZawertailoCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Aliya NoormohamedCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Norman GiesbrechtCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Christian S HendershotCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Bernard Le FollCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Jürgen RehmCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Andriy SamokhvalovCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada.
Peter L SelbyCentre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J1H4, Canada. peter.selby@camh.ca.
Centre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTobacco and alcohol use present multiplicative risk for aerodigestive cancers. Reducing alcohol consumption improves smoking cessation outcomes and reduces cancer risk. Risky alcohol consumption and smoking are often treated separately despite concurrent treatment potentially leading to better outcomes for each. However, no rapidly scalable program exists for combined interventions in primary care clinics spread across wide geographic areas. This cluster randomized trial aims to report on the effects of a novel clinical decision support system (CDSS) on intervention rates by primary care practitioners addressing risky alcohol use in a smoking cessation program. METHODS/

designWe will be implementing a clinical decision support system (CDSS) in 221 primary care sites participating in the Smoking Treatment for Ontario Patients (STOP) program across Ontario, Canada. Sites will be blindly allocated to one of two clinical decision support systems guiding practitioners to provide a risky alcohol use intervention to smokers attempting to quit using nicotine replacement therapy (NRT). Risky alcohol use is defined as drinking above the Canadian Cancer Society's low-risk drinking guidelines. Primary analysis will measure the proportion of risky drinkers offered an alcohol intervention in each CDSS arm at baseline. Patients will be contacted by phone or email to track smoking cessation and alcohol consumption rates at 6- and 12-month follow-up. DISCUSSION: Upon completion of the trial, the effect of different clinical decision support systems on practitioner behaviour, and on client tobacco and alcohol use, will be discussed. If the CDSS successfully promotes SBIRT for risky alcohol use in a primary care setting and/or improves patient-level outcomes, including smoking cessation rates and alcohol use reduction, this tool can be used as a model for other web-based behaviour change interventions integrated into primary care practice.

trial registrationClinicalTrials.gov NCT03108144.

Indexed as

Alcohol AbstinenceRisk Reduction BehaviorTobacco Use Cessation DevicesAdultAgedAged, 80 and overFemaleHealth PromotionHumansMaleMiddle AgedNeoplasmsOntarioPrimary Health CareAlcoholCancer preventionClinical decision support systemHealth care practitionerPrimary careTobacco

Identifiers

PMID28521782
PMCPMC5437645
OpenAlexW2616283945

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.