Evidence map›Paper›PMID 30547727›Full record

ArticleQualitative health research2019

Tobacco Cessation Among Acute Coronary Syndrome Patients in Kerala, India: Patient and Provider Perspectives.

Smitha S Bhaumik, Caitlyn Placek, R Kochumoni, T R Lekha, Dorairaj Prabhakaran, Brian Hitsman, Mark D Huffman, Sivadasanpillai Harikrishnan, Shifalika Goenka

Open access · greenAbstract read
In one paragraph

Article in Qualitative health research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Exploring biocultural models of chewing tobacco and paan among reproductive-aged women: Self-medication, protection, or gender inequality?American journal of human biology : the official journal of the Human Biology Council · 2019
    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

9 authors at 5 institutions in 2 countries.

Smitha S Bhaumik1 Denver Health Medical Center, Denver, Colorado, USA.ORCID 0000-0002-2981-9293
Caitlyn Placek2 Ball State University, Muncie, Indiana, USA.
R Kochumoni3 Cardiological Society of India, Kerala Chapter, Trivandrum, India.
T R Lekha4 Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Dorairaj Prabhakaran5 Centre for Chronic Disease Control & Public Health Foundation of India, Gurgaon, Haryana, India.
Brian Hitsman6 Northwestern University, Chicago, Illinois, USA.
Mark D Huffman6 Northwestern University, Chicago, Illinois, USA.
Sivadasanpillai Harikrishnan4 Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Shifalika Goenka5 Centre for Chronic Disease Control & Public Health Foundation of India, Gurgaon, Haryana, India.
Centre for Chronic Disease Control · INNorthwestern University · USSree Chitra Thirunal Institute for Medical Sciences and Technology · INBall State University · USDenver Health Medical Center · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
Acute Coronary Syndrome Quality Improvement in Kerala (ACS QUIK)R00HL107749 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HUFFMAN, MARK D · 2014 to 2016
$744k
FIC NIH HHS R25 TW009337NCATS NIH HHS UL1 TR001422NHLBI NIH HHS R00 HL107749Wellcome Trust
6 · The paper itself

Abstract

Tobacco cessation is an important intervention to reduce mortality from ischemic heart disease, the leading cause of death in India. In this study, we explored facilitators, barriers, and cultural context to tobacco cessation among acute coronary syndrome (ACS, or heart attack) patients and providers in a tertiary care institution in the south Indian state of Kerala, with a focus on patient trajectories. Patients who quit tobacco after ACS expressed greater understanding about the link between tobacco and ACS, exerted more willpower at the time of discharge, and held less fatalistic beliefs about their health compared to those who continued tobacco use. The former were motivated by the fear of recurrent ACS, strong advice to quit from providers, and determination to survive and financially provide for their families. Systemic barriers included inadequate training, infrequent prescription of cessation pharmacotherapy, lack of ancillary staff to deliver counseling, and stigma against mental health services.

Indexed as

Acute Coronary SyndromeAdultAttitude of Health PersonnelCardiac Care FacilitiesCounselingCultural CharacteristicsFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansIndiaInterviews as TopicMaleMotivationPatient Education as TopicPatientscardiac eventsframework analysisheart attacksIndiaqualitativequalitative researchquittingsmokingSouth Asiatobacco cessation

Identifiers

PMID30547727
PMCPMC11340661
OpenAlexW2903895590

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.