Evidence map›Paper›PMID 30061033›Full record

SynthesisWomen's health issues : official publication of the Jacobs Institute of Women's Health

Contingency Management Versus Psychotherapy for Prenatal Smoking Cessation: A Meta-Analysis of Randomized Controlled Trials.

Sarah M Wilson, Amie R Newins, Alyssa M Medenblik, Nathan A Kimbrel, Eric A Dedert, Terrell A Hicks, Lydia C Neal, Jean C Beckham, Patrick S Calhoun

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

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

  1. Pooled it
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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

9 authors at 4 institutions in 1 country.

Sarah M WilsonDuke University School of Medicine, Durham, North Carolina; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina; VA Center for Health Services Research in Primary Care, Durham, North Carolina. Electronic address: Sarah.M.Wilson@va.gov.
Amie R NewinsUniversity of Central Florida, Orlando, Florida.
Alyssa M MedenblikDuke University School of Medicine, Durham, North Carolina.
Nathan A KimbrelDuke University School of Medicine, Durham, North Carolina; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina.
Eric A DedertDuke University School of Medicine, Durham, North Carolina; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina.
Terrell A HicksVirginia Commonwealth University, Richmond, Virginia.
Lydia C NealDuke University School of Medicine, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina.
Jean C BeckhamDuke University School of Medicine, Durham, North Carolina; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina.
Patrick S CalhounDuke University School of Medicine, Durham, North Carolina; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina; Durham Veterans Affairs Health Care System, Durham, North Carolina; VA Center for Health Services Research in Primary Care, Durham, North Carolina.
Duke University · USDurham VA Health Care System · USUniversity of Central Florida · USVirginia Commonwealth University · US

Funding

The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Gene x Environment Effects on PTSDIK2CX000525 · VA · OLIN TEAGUE VETERANS CENTER · PI KIMBREL, NATHAN A. · 2012 to 2016
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Combined Smoking Cessation and Cognitive Processing Therapy for PTSDIK2CX000718 · VA · DURHAM VA MEDICAL CENTER · PI DEDERT, ERIC A · 2013 to 2017
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A Personalized mHealth Approach to Smoking Cessation for Veterans Living with HIVIK2HX002398 · VA · DURHAM VA MEDICAL CENTER · PI WILSON, SARAH MOSHER · 2018 to 2022
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CSR&D Research Career Scientist AwardIK6BX003777 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2017 to 2023
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BLRD VA IK6 BX003777CSRD VA IK2 CX000525CSRD VA IK2 CX000718HSRD VA IK2 HX002398NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

objectivesPrenatal smoking is the leading preventable cause of poor obstetric outcomes, yet treatment options are limited. Past reviews of prenatal smoking cessation have often grouped all counseling into a single category, which ignores the fact that psychotherapy is distinct from brief counseling. The objective of this study was to compare the effect sizes of two intensive interventions for prenatal smoking cessation: contingency management (i.e., financial incentives for abstinence) and psychotherapy.

methodsA systematic search for randomized controlled trials testing the efficacy of contingency management or psychotherapy was completed using PubMed, PsycINFO, Web of Science, the Cochrane Library, and EMBASE. Independent raters extracted data and assessed trials for risk of bias. Treatment effects were analyzed for three times points: late pregnancy, early postpartum, and late postpartum.

resultsThe search yielded 22 studies, and meta-analytic results indicated that interventions (compared with control groups) generally increased the odds of abstinence. Moderator analyses indicated that intervention type (contingency management vs. psychotherapy) accounted for variability in effect sizes. When comparing treatment type, effects of contingency management interventions were significantly greater than those of psychotherapeutic interventions. Although psychotherapy did not affect smoking abstinence, contingency management interventions had significant treatment effects at all three time points.

conclusionsContingency management seems to be a safe and efficacious prenatal smoking cessation treatment. Although psychotherapy alone did not show an effect on prenatal smoking abstinence, future research may seek to combine this approach with contingency management to promote prenatal smoking cessation.

Indexed as

Randomized Controlled Trials as TopicCounselingFemaleHumansMotivationPregnancyPregnant PeoplePrenatal CarePsychotherapySmokingSmoking CessationTobacco Smoking

Identifiers

PMID30061033
PMCPMC6215492
OpenAlexW2884703701

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.