Evidence map›Paper›PMID 29287665›Full record

ArticleContemporary clinical trials2018

Tobacco dependence treatment in the emergency department: A randomized trial using the Multiphase Optimization Strategy.

Steven L Bernstein, James Dziura, June Weiss, Ted Miller, Katrina A Vickerman, Lauretta E Grau, Michael V Pantalon, Lorien Abroms, Linda M Collins, Benjamin Toll

2 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2018. 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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

NCT02896400 phase3completednot on this map

Optimizing Tobacco Dependence Treatment in the Emergency Department

TypeinterventionalSponsorYale UniversityRan2017 to 2019Enrolled1,056ConditionsTobacco Use DisorderArmsBrief Negotiated Interview (BNI), Nicotine replacement therapy (NRT), CT Smokers Quitline (QL), SmokefreeText (Text)
NCT06624358 narecruitingnot on this mapstarted 2025, after this paper: background citation

Physical Activity in Adolescents With Chronic Kidney Disease

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2025 to 2028Enrolled100ConditionsChronic Kidney DiseasesArmsIncrease Physical Activity
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
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  12. Pragmatic clinical trial design in emergency medicine: Study considerations and design types.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
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  14. Review
  15. Article
  16. Article
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  18. Article
  19. Review
  20. Motivational interviewing for smoking cessation.The Cochrane database of systematic reviews · 2019
    Review
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.

Steven L BernsteinDepartment of Emergency Medicine, Yale School of Medicine, United States; Department of Health Policy, Yale School of Public Health, United States; Yale Cancer Center, New Haven, CT, United States. Electronic address: Steven.bernstein@yale.edu.
James DziuraDepartment of Emergency Medicine, Yale School of Medicine, United States; Department of Health Policy, Yale School of Public Health, United States.
June WeissDepartment of Emergency Medicine, Yale School of Medicine, United States.
Ted MillerPacific Institute of Research and Evaluation, Calverton, MD, United States.
Katrina A VickermanAlere Wellbeing, Seattle, WA, United States.
Lauretta E GrauDepartment of Health Policy, Yale School of Public Health, United States.
Michael V PantalonDepartment of Emergency Medicine, Yale School of Medicine, United States.
Lorien AbromsDepartment of Prevention and Community Health, Milken Institute School of Public Health at George Washington University, United States.
Linda M CollinsThe Methodology Center and Department of Human Development and Family Studies, Pennsylvania State University, College Station, PA, United States.
Benjamin TollYale Cancer Center, New Haven, CT, United States; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI COLLINS, LINDA M · 2015 to 2019
$13.9M
Optimizing Tobacco Dependence Treatment in the Emergency DepartmentR01CA201873 · NCI · YALE UNIVERSITY · PI DZIURA, JAMES DAVID · 2016 to 2019
$2.7M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA201873NIDA NIH HHS P50 DA039838
6 · The paper itself

Abstract

backgroundTobacco dependence remains the leading preventable cause of death in the developed world. Smokers are disproportionately from lower socioeconomic groups, and may use the hospital emergency department (ED) as an important source of care. A recent clinical trial demonstrated the efficacy of a multicomponent intervention to help smokers quit, but the independent contributions of those components is unknown.

methodsThis is a full-factorial (16-arm) randomized trial in a busy hospital ED of 4 tobacco dependence interventions: brief motivational interviewing, nicotine replacement therapy, referral to a telephone quitline, and a texting program. The trial utilizes the Multiphase Optimization Strategy (MOST) and a novel mixed methods analytic design to assess clinical efficacy, cost effectiveness, and qualitative participant feedback. The primary endpoint is tobacco abstinence at 3months, verified by participants' exhaled carbon monoxide.

resultsStudy enrollment began in February 2017. As of April 2017, 52 of 1056 planned participants (4.9%) were enrolled. Telephone-based semi-structured participant interviews and in-person biochemical verification of smoking abstinence are completed at the 3-month follow-up. Efficacy and cost effectiveness analyses will be conducted after follow-up is completed. DISCUSSION: The goal of this study is to identify a clinically efficacious, cost-effective intervention package for the initial treatment of tobacco dependence in ED patients. The efficacy of this combination can then be tested in a subsequent confirmatory trial. Our approach incorporates qualitative feedback from study participants in evaluating which intervention components will be tested in the future trial.

trial registrationTrial (NCT02896400) registered in ClinicalTrials.gov on September 6, 2016.

Indexed as

Emergency Service, HospitalSmoking CessationTobacco Use DisorderAdultCost-Benefit AnalysisFemaleHotlinesHumansMaleMiddle AgedMotivational InterviewingNicotine Chewing GumQualitative ResearchQuality-Adjusted Life YearsRandomized Controlled Trials as TopicReferral and ConsultationNicotine Chewing GumSmoking Cessation AgentsEmergency departmentMixed methodsSmoking cessationTobacco dependence treatment

Identifiers

PMID29287665
PMCPMC5851600

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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.