Evidence map›Paper›PMID 30212849›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2018

A Randomized Controlled Trial of an Optimized Smoking Treatment Delivered in Primary Care.

Megan E Piper, Jessica W Cook, Tanya R Schlam, Douglas E Jorenby, Stevens S Smith, Linda M Collins, Robin Mermelstein, David Fraser, Michael C Fiore, Timothy B Baker

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 8% 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.

NCT01814072 phase2 / phase3completednot on this map

Opt-IN: Optimization of Remotely Delivered Intensive Lifestyle Treatment for Obesity

TypeinterventionalSponsorNorthwestern UniversityRan2013 to 2017Enrolled562ConditionsWeight LossArms12 Telephone Coaching Sessions, 24 Telephone Coaching Sessions, Report to Primary Care Physician, Text Messages, Recommendations to use meal replacements
NCT02301403 phase4completednot on this map

A Comparative Effectiveness RCT of Optimized Cessation Treatments

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2015 to 2018Enrolled623ConditionsSmoking CessationArmsNicotine patch, in-person counseling and quitline counseling, Preparation Nicotine Mini-Lozenges, Combination NRT (nicotine patch + nicotine mini-lozenges), Intensive In-Person Cessation Counseling
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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Characteristics of Black Adults Who Never Achieved 24-Hours of Abstinence in a Smoking Cessation Trial: Implications for Improving Treatment Response.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Trial
  5. Trial
  6. Trial
  7. Mobile Chat Messaging for Preventing Smoking Relapse Amid the COVID-19 Pandemic: A Pilot Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Predictors of Smoking Cessation Attempts and Success Following Motivation-Phase Interventions Among People Initially Unwilling to Quit Smoking.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  12. Trial
  13. Trial
  14. Personal pathways to success: an innovative program to overcome cancer patient barriers to tobacco cessation and promote patient participation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  15. Article
  16. Representativeness of Electronic Referral to Smoking Treatment Trials in Adult Primary Care.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  17. Twenty years of intervention optimization.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  18. Review
  19. Estimating the Cost of Delivering Tobacco Cessation Intervention Package at Noncommunicable Disease Clinics in Two Districts of North India.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  20. Article
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 at 4 institutions in 1 country.

Megan E PiperCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jessica W CookCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Tanya R SchlamCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Douglas E JorenbyCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Stevens S SmithCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Linda M CollinsThe Methodology Center, The Pennsylvania State University, University Park, PA, USA.
Robin MermelsteinInstitute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA.
David FraserCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Michael C FioreCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Timothy B BakerCenter for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
University of Wisconsin–Madison · USPennsylvania State University · USUniversity of Illinois Chicago · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

Testing Relapse Recovery Intervention ComponentsP01CA180945 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI COOK, JESSICA MEGAN · 2014 to 2023
$23.0M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI COLLINS, LINDA M · 2015 to 2019
$13.9M
Using MOST to optimize an HIV care continuum intervention for vulnerable populationsR01DA040480 · NIDA · NEW YORK UNIVERSITY · PI COLLINS, LINDA M, GWADZ, MARYA · 2016 to 2020
$5.9M
Opt-IN: Optimizing INtensive Lifestyle Intervention for Weight LossR01DK097364 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI COLLINS, LINDA M, SPRING, BONNIE · 2012 to 2016
$3.0M
Engineering an Online STI Prevention ProgramR01AA022931 · NIAAA · PENNSYLVANIA STATE UNIVERSITY, THE · PI RULISON, KELLY LIN · 2015 to 2019
$3.0M
NCI NIH HHS P01 CA180945NIAAA NIH HHS R01 AA022931NIDA NIH HHS P50 DA039838NIDA NIH HHS R01 DA040480NIDDK NIH HHS R01 DK097364
6 · The paper itself

Abstract

Background: The effectiveness of smoking cessation treatment is limited in real-world use, perhaps because we have not selected the components of such treatments optimally nor have treatments typically been developed for and evaluated in real-world clinical settings. Purpose: To validate an optimized smoking cessation treatment package that comprises intervention components identified as effective in factorial screening experiments conducted as per the Multiphase Optimization Strategy (MOST). Methods: Adult smokers motivated to quit were recruited from primary care clinics (N = 623). Participants were randomized to receive either recommended usual care (R-UC; 10 min of in-person counseling, 8 weeks of nicotine patch, and referral to quitline services) or abstinence-optimized treatment (A-OT; 3 weeks of prequit mini-lozenges, 26 weeks of nicotine patch + mini-lozenges, three in-person and eight phone counseling sessions, and 7-11 automated calls to prompt medication use). The key outcomes were self-reported and biochemically confirmed (carbon monoxide, CO <6 ppm) 7-day point-prevalence abstinence. Results: A-OT participants had significantly higher self-reported abstinence rates than R-UC participants at 4, 8, 16, and 26 weeks (ORs: 1.91-3.05; p <. 001). The biochemically confirmed 26-week abstinence rates were lower than the self-reported 26-week rates, but revealed a similar treatment effect size (OR = 2.94, p < .001). There was no moderation of treatment effects on 26-week abstinence by demographic, psychiatric, or nicotine dependence variables. A-OT had an incremental cost-effectiveness ratio for 26-week CO-confirmed abstinence of $7,800. Conclusions: A smoking cessation treatment that is optimized via MOST development meaningfully enhances cessation rates beyond R-UC smoking treatment in smokers seen in primary care. Clinical Trial Registration: NCT02301403.

Indexed as

Outcome and Process Assessment, Health CareTobacco Use Cessation DevicesAdultCigarette SmokingCombined Modality TherapyCounselingFemaleHumansMaleMiddle AgedPrimary Health CareSmoking Cessation

Identifiers

PMID30212849
PMCPMC6135958
OpenAlexW2793471877

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.