Evidence map›Paper›PMID 31197730›Full record

Trial reportJournal of general internal medicine2019

Proactive Population Health Strategy to Offer Tobacco Dependence Treatment to Smokers in a Primary Care Practice Network.

Sara Kalkhoran, Elizabeth M Inman, Jennifer H K Kelley, Jeffrey M Ashburner, Nancy A Rigotti

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03612895 (Proactive Population Health Strategy to Offer Tobacco Dependence Treatment to Smokers in a Primary Care Practice Network), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 36% 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.

NCT03612895 nacompletednot on this map

Proactive Population Health Strategy to Offer Tobacco Dependence Treatment to Smokers in a Primary Care Practice Network

TypeinterventionalSponsorMassachusetts General HospitalRan2016 to 2017Enrolled234ConditionsSmoking, TobaccoArmsInternal Care Coordination, External Community Referral, Usual Care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023
    Pooled it
  2. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. A Proactive Outreach Strategy Using a Local Area Code to Refer Unassisted Smokers in a Safety Net Health System to a Quitline: A Pragmatic Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  4. Article
  5. Review
  6. 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

5 authors at 2 institutions in 1 country.

Sara KalkhoranTobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA. skalkhoran@mgh.harvard.edu.
Elizabeth M InmanTobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA.
Jennifer H K KelleyTobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA.
Jeffrey M AshburnerDivision of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Nancy A RigottiTobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · US

Funding

Effects of Electronic Cigarette Use on Smokers with Mild to Moderate Chronic Obstructive Pulmonary DiseaseK23HL136854 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI KALKHORAN, SARA M · 2018 to 2021
$802k
NHLBI NIH HHS K23 HL136854
6 · The paper itself

Abstract

backgroundPopulation-based strategies can expand the reach of tobacco cessation treatment beyond clinical encounters.

objectiveTo determine the effect of two population-based tobacco cessation strategies, compared with usual care, on providing tobacco treatment outside of clinical encounters.

design3-arm pragmatic randomized controlled trial.

participantsCurrent smokers ≥ 18 years old with a primary care provider at one of five community health centers in Massachusetts were identified via the electronic health record (n = 5225) and recruited using automated phone calls.

interventionsOne intervention group involved engagement with a health system-based tobacco coach (internal care coordination), and the other connected patients to a national quitline (external community referral). MEASUREMENTS: Proportion of smokers with documentation of any evidence-based cessation treatment in the 6 months after enrollment. KEY

resultsOf 639 individuals who responded to the proactive treatment offer, 233 consented and were randomized 1:1:1 to study arm. At 6-month follow-up, the pooled intervention group, compared with usual care, had higher documentation of any smoking cessation treatment (63% vs. 34%, p < 0.001), cessation medication prescription (52% vs. 30%, p = 0.002), and counseling (47% vs. 9%, p < 0.001). Internal care coordination was more effective than external community referral at connecting smokers to any cessation treatment (76% vs. 50%, p = 0.001) and at providing cessation medication (66% vs. 39%, p < 0.001), but comparable at linking smokers to cessation counseling resources.

conclusionsSmokers responding to a population-based, proactive outreach strategy had better provision of tobacco cessation treatment when referred to either a health system-based or community-based program compared with usual care. The health system-based strategy outperformed the quitline-based one in several measures. Future work should aim to improve population reach and test the effect on smoking cessation rates.

trial registrationClinicalTrials.gov NCT03612895.

Indexed as

CounselingFemaleHumansMaleMiddle AgedPrimary Health CareSmokersSmoking CessationSmoking Cessation AgentsTobacco Use Cessation DevicesTobacco Use DisorderSmoking Cessation Agentsclinical trialspopulation healthprimary caresmoking cessation

Identifiers

PMID31197730
PMCPMC6667589
OpenAlexW2949999499

What OpenQuestion holds

Textmetadata
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.