Evidence map›Paper›PMID 29864548›Full record

ArticleContemporary clinical trials2018

The Healing and Empowering Alaskan Lives Toward Healthy-Hearts (HEALTHH) Project: Study protocol for a randomized controlled trial of an intervention for tobacco use and other cardiovascular risk behaviors for Alaska Native People.

Judith J Prochaska, Anna Epperson, Jordan Skan, Marily Oppezzo, Paul Barnett, Kevin Delucchi, Matthew Schnellbaecher, Neal L Benowitz

Registry-linked trialOpen access · bronzeAbstract 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 trial NCT02137902 (Healing and Empowering Alaskan Lives Towards Healthy-Hearts Study), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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.

NCT02137902 nacompletednot on this map

Healing and Empowering Alaskan Lives Towards Healthy-Hearts Study

TypeinterventionalSponsorStanford UniversityRan2015 to 2020Enrolled299ConditionsTobacco DependenceArmsTobacco/Physical Activity Intervention, Diet plus BP/CHOL Intervention
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Real-time video counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
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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

8 authors at 5 institutions in 1 country.

Judith J ProchaskaStanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USA. Electronic address: jpro@stanford.edu.
Anna EppersonStanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USA.
Jordan SkanAlaska Native Tribal Health Consortium, Cardiology Department, Anchorage, AK, USA.
Marily OppezzoStanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, USA.
Paul BarnettVeterans Affairs Health Economics Resource Center, USA.
Kevin DelucchiDepartment of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA.
Matthew SchnellbaecherAlaska Native Tribal Health Consortium, Cardiology Department, Anchorage, AK, USA.
Neal L BenowitzDepartments of Medicine and Bioengineering & Therapeutic Sciences, Division of Clinical Pharmacology and Experimental Therapeutics, University of California, San Francisco, San Francisco, CA, USA.
Alaska Native Tribal Health Consortium · USStanford University · USUniversity of California, San Francisco · USStanford Medicine · USVeterans Health Administration · US

Funding

CARDIOVASCULAR DISEASE PREVENTION TRAINING PROGRAMT32HL007034 · NHLBI · STANFORD UNIVERSITY · PI GARDNER, CHRISTOPHER D · 1985 to 2020
$8.7M
Technology Innovations for Supporting Health in Alaska Native PeopleR01HL117736 · NHLBI · STANFORD UNIVERSITY · PI BENOWITZ, NEAL L, PROCHASKA, JUDITH J. · 2014 to 2018
$3.8M
NHLBI NIH HHS R01 HL117736NHLBI NIH HHS T32 HL007034
6 · The paper itself

Abstract

backgroundTobacco use and tobacco-related diseases disproportionately affect Alaska Native (AN) people. Using telemedicine, this study aims to identify culturally-tailored, theoretically-driven, efficacious interventions for tobacco use and other cardiovascular disease (CVD) risk behaviors among AN people in remote areas.

designRandomized clinical trial with two intervention arms: 1) tobacco and physical activity; 2) medication adherence and a heart-healthy AN diet.

participantsParticipants are N = 300 AN men and women current smokers with high blood pressure or high cholesterol.

interventionsAll participants receive motivational, stage-tailored, telemedicine-delivered counseling sessions at baseline and 3, 6, and 12 months follow-up; an individualized behavior change plan that is updated at each contact; and a behavior change manual. In Group 1, the focus is on tobacco and physical activity; a pedometer is provided and nicotine replacement therapy is offered. In Group 2, the focus is on medication adherence for treating hypertension and/or hypercholesterolemia; a medication bag and traditional food guide are provided. MEASUREMENTS: With assessments at baseline, 3, 6, 12, and 18 months, the primary outcome is smoking status, assessed as 7-day point prevalence abstinence, biochemically verified with urine anabasine. Secondary outcomes include physical activity, blood pressure and cholesterol, medication compliance, diet, multiple risk behavior change indices, and cost-effectiveness. COMMENTS: The current study has the potential to identify novel, feasible, acceptable, and efficacious interventions for treating the co-occurrence of CVD risk factors in AN people. Findings may inform personalized treatment and the development of effective and cost-effective intervention strategies for use in remote indigenous communities more broadly. Clinical Trial Registration # NCT02137902.

Indexed as

Cardiovascular DiseasesExerciseQuality of LifeSmoking CessationTobacco Use DisorderAdultAlaska NativesBehavior ControlCardiovascular AgentsDistance CounselingDrug MonitoringFemaleHumansMaleMedication AdherenceRandomized Controlled Trials as TopicCardiovascular AgentsAlaska NativeCardiovascular risk factorsInterventionMotivationalRandomized controlled trialSmoking cessationTelemedicine

Identifiers

PMID29864548
PMCPMC6636857
OpenAlexW2806130065

What OpenQuestion holds

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LicenceTDM
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.