Evidence map›Paper›PMID 31270124›Full record

ArticleBMJ open2019

Leverage points to improve smoking cessation treatment in a large tertiary care hospital: a systems-based mixed methods study.

Alex T Ramsey, Donna Prentice, Ellis Ballard, Li-Shiun Chen, Laura J Bierut

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 17 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

5 authors at 2 institutions in 1 country.

Alex T RamseyDepartment of Psychiatry, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.ORCID 0000-0002-3471-3725
Donna PrenticeDepartment of Research for Patient Care Services, Barnes-Jewish Hospital, Saint Louis, Missouri, USA.
Ellis BallardBrown School of Social Work and Public Health, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Li-Shiun ChenDepartment of Psychiatry, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Washington University in St. Louis · USBarnes-Jewish Hospital · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Translating Molecular and Clinical Data to Population Lung Cancer Risk AssessmentU19CA203654 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Rayjean J. Hung · 2017 to 2026
$23.7M
Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
Genetically Informed Smoking Cessation TrialR01DA038076 · NIDA · WASHINGTON UNIVERSITY · PI CHEN, LI-SHIUN · 2014 to 2018
$3.3M
Nicotine Dependence to Smoking Cessation: Sequencing Common and Rare VariantsR01DA036583 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2014 to 2017
$3.0M
NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NCI NIH HHS U19 CA203654NIDA NIH HHS K12 DA041449NIDA NIH HHS R01 DA036583NIDA NIH HHS R01 DA038076
6 · The paper itself

Abstract

objectivesTo generate system insights on patient and provider levers and strategies that must be activated to improve hospital-based smoking cessation treatment.

designMixed methods study including a series of in-depth group model building sessions, which informed the design of an online survey completed by healthcare providers and a structured interview protocol administered at the bedside to patients who smoke.

settingLarge, tertiary care hospital in the Midwestern United States.

participantsPRIMARY AND SECONDARY OUTCOME MEASURES: Hypothesis-generating, participatory qualitative methods informed the examination of the following quantitative outcomes: patient interest versus provider perception of patient interest in smoking cessation and treatment; patient-reported receipt versus provider-reported offering of inpatient smoking cessation interventions; and priority ratings of importance and feasibility of strategies to improve treatment.

results

conclusionsEngaging hospital providers and patients in participatory approaches to develop an implementation strategy revealed discrepant perceptions of patient interest and frequency of hospital-based treatment for smoking. These findings spurred adoption of standardised point-of-care treatment for cigarette smoking, which remains highly prevalent yet undertreated among hospitalised patients.

Indexed as

AdultAgedAttitude of Health PersonnelFemaleHumansMaleMiddle AgedMidwestern United StatesPatient Acceptance of Health CareQualitative ResearchSmoking CessationSubstance Withdrawal SyndromeTertiary Care Centersinternal medicinepreventive medicinequalitative researchquality in health care

Identifiers

PMID31270124
PMCPMC6609123
OpenAlexW2953733390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.