Evidence map›Paper›PMID 29895740›Full record

Trial reportInternational journal of environmental research and public health2018

Kids Safe and Smokefree (KiSS) Multilevel Intervention to Reduce Child Tobacco Smoke Exposure: Long-Term Results of a Randomized Controlled Trial.

Stephen J Lepore, Bradley N Collins, Donna L Coffman, Jonathan P Winickoff, Uma S Nair, Beth Moughan, Tyra Bryant-Stephens, Daniel Taylor, David Fleece, Melissa Godfrey

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Article
  12. Addressing Tobacco Screening and Treatment Among Racially and Ethnically Minoritized Parents in Pediatric Clinics: Barriers and Facilitators.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  16. Validation and Psychometric Properties of the Tobacco Urge Management Scale (TUMS).International journal of environmental research and public health · 2023
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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

10 authors.

Stephen J LeporeDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, 9th Floor Ritter Annex, Philadelphia, PA 19122, USA. slepore@temple.edu.ORCID 0000-0001-7370-6280
Bradley N CollinsDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, 9th Floor Ritter Annex, Philadelphia, PA 19122, USA. collinsb@temple.edu.ORCID 0000-0003-3703-9630
Donna L CoffmanDepartment of Epidemiology and Biostatistics, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, USA. dcoffman@temple.edu.
Jonathan P WinickoffMassachusetts General Hospital Division of Pediatrics, 125 Nashua St, Suite 860, Boston, MA 02144, USA. jwinickoff@mgh.harvard.edu.
Uma S NairDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, 9th Floor Ritter Annex, Philadelphia, PA 19122, USA. umanair@email.arizona.edu.
Beth MoughanTemple Pediatric Care, Temple University School of Medicine, 3509 N. Broad St, Philadelphia, PA 19140, USA. Beth.Moughan@tuhs.temple.edu.
Tyra Bryant-StephensRoberts Pediatric Clinical Research Building, Children's Hospital of Philadelphia, 26 South St, 9th Floor, Philadelphia, PA 19146, USA. stephenst@email.chop.edu.
Daniel TaylorDepartment of Pediatrics, St. Christopher's Hospital for Children, Front and Erie, Philadelphia, PA 19134, USA. drt23@drexel.edu.
David FleeceTemple Pediatric Care, Temple University School of Medicine, 3509 N. Broad St, Philadelphia, PA 19140, USA. David.Fleece@tuhs.temple.edu.
Melissa GodfreyDepartment of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, 9th Floor Ritter Annex, Philadelphia, PA 19122, USA. mgod521@temple.edu.

Funding

Pediatrician Advice, Family Counseling, & SHS Reduction for Underserved ChildrenR01CA158361 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI COLLINS, BRADLEY N, LEPORE, STEPHEN J · 2012 to 2016
$2.3M
NCI NIH HHS R01 CA158361
6 · The paper itself

Abstract

backgroundPediatricians following clinical practice guidelines for tobacco intervention (“Ask, Advise, and Refer” [AAR]) can motivate parents to reduce child tobacco smoke exposure (TSE). However, brief clinic interventions are unable to provide the more intensive, evidence-based behavioral treatments that facilitate the knowledge, skills, and confidence that parents need to both reduce child TSE and quit smoking. We hypothesized that a multilevel treatment model integrating pediatric clinic-level AAR with individual-level, telephone counseling would promote greater long-term (12-month) child TSE reduction and parent smoking cessation than clinic-level AAR alone.

methodsPediatricians were trained to implement AAR with parents during clinic visits and reminded via prompts embedded in electronic health records. Following AAR, parents were randomized to intervention (AAR + counseling) or nutrition education attention control (AAR + control). Child TSE and parent quit status were bioverified.

resultsParticipants (

conclusionsPediatrician advice alone may be sufficient to increase parent protections of children from TSE. Integrating clinic-level intervention with more intensive individual-level smoking intervention is necessary to promote parent cessation.

Indexed as

AdultChildChild HealthChild, PreschoolCounselingFemaleFollow-Up StudiesHealth BehaviorHealth PromotionHumansInfantMaleParentsPediatricsSingle-Blind MethodSmoking CessationTobacco Smoke Pollutioninterventionpediatricsecondhand smokesmoking cessationtobacco control

Identifiers

PMID29895740
PMCPMC6025102

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.