Evidence map›Paper›PMID 29886411›Full record

ArticleTobacco control2019

Cost-effectiveness analysis of smoking cessation interventions using cell phones in a low-income population.

Allan T Daly, Ashish A Deshmukh, Damon J Vidrine, Alexander V Prokhorov, Summer G Frank, Patricia D Tahay, Maggie E Houchen, Scott B Cantor

Registry-linked trialAbstract read
In one paragraph

Article in Tobacco control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00948129 (Project ACTION), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT00948129 nacompletednot on this map

Project ACTION: Adult Smoking Cessation Treatment Through Innovative Outreach to Neighborhoods

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2009 to 2021Enrolled626ConditionsCigarette Smoker, Current Every Day SmokerArmsLaboratory Biomarker Analysis, Smoking Cessation Intervention, Telephone-Based Intervention, Tobacco Cessation Counseling
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. An economic analysis of Native CHOICES.Journal of substance use and addiction treatment · 2026
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Mobile Health Interventions for Substance Use Disorders.Annual review of clinical psychology · 2024
    Review
  10. Article
  11. Birth Cohort‒Specific Smoking Patterns by Family Income in the U.S.American journal of preventive medicine · 2023
    Article
  12. Article
  13. Article
  14. Indicators related to smoking cessation in Brazil, National Health Survey, 2013 and 2019 editions.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

8 authors at 3 institutions in 1 country.

Allan T DalyDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Ashish A DeshmukhDepartment of Health Services Research, The University of Florida Health Science Center, Gainesville, Florida, USA.
Damon J VidrineOklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Alexander V ProkhorovDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Summer G FrankOklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Patricia D TahayDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Maggie E HouchenDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Scott B CantorDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
The University of Texas MD Anderson Cancer Center · USUniversity of Oklahoma Health Sciences Center · USUniversity of Florida Health Science Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Michael S. Businelle · 2018 to 2026
$27.1M
Enhancing cancer outreach for low-income adults with innovative smoking cessationR01CA141628 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI PROKHOROV, ALEXANDER V, VIDRINE, DAMON J. · 2010 to 2015
$3.0M
NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA225520NCI NIH HHS R01 CA141628
6 · The paper itself

Abstract

backgroundThe prevalence of cigarette smoking is significantly higher among those living at or below the federal poverty level. Cell phone-based interventions among such populations have the potential to reduce smoking rates and be cost-effective.

methodsWe performed a cost-effectiveness analysis of three smoking cessation interventions: Standard Care (SC) (brief advice to quit, nicotine replacement therapy and self-help written materials), Enhanced Care (EC) (SC plus cell phone-delivered messaging) and Intensive Care (IC) (EC plus cell phone-delivered counselling). Quit rates were obtained from Project ACTION (Adult smoking Cessation Treatment through Innovative Outreach to Neighborhoods). We evaluated shorter-term outcomes of cost per quit and long-term outcomes using cost per quality-adjusted life year (QALY).

resultsFor men, EC cost an additional $541 per quit vs SC; however, IC cost an additional $5232 per quit vs EC. For women, EC was weakly dominated by IC-IC cost an additional $1092 per quit vs SC. Similarly, for men, EC had incremental cost-effectiveness ratio (ICER) of $426 per QALY gained vs SC; however, IC resulted in ICER of $4127 per QALY gained vs EC. For women, EC was weakly dominated; the ICER of IC vs SC was $1251 per QALY gained. The ICER was below maximum acceptable willingness-to-pay threshold of $50 000 per QALY under all alternative modelling assumptions. DISCUSSION: Cell phone interventions for low socioeconomic groups are a cost-effective use of healthcare resources. Intensive Care was the most cost-effective strategy both for men and women. TRIAL REGISTRATION NUMBER: NCT00948129; Results.

Indexed as

Cell PhoneQuality-Adjusted Life YearsCost-Benefit AnalysisCounselingFemaleFollow-Up StudiesHumansMaleMiddle AgedPovertyPrevalenceSex FactorsSmoking CessationSmoking Cessation AgentsSmoking Cessation Agentscommunity outreachcost and cost analysisdecision makingmobile clinicsmoking cessationunderserved populations

Identifiers

PMID29886411
PMCPMC6692895
OpenAlexW2806475951

What OpenQuestion holds

Textmetadata
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.