Evidence map›Paper›PMID 32348286›Full record

ArticleJMIR formative research2020

A Digital Smoking Cessation Program for Heavy Drinkers: Pilot Randomized Controlled Trial.

Christopher W Kahler, Amy M Cohn, Catherine Costantino, Benjamin A Toll, Nichea S Spillane, Amanda L Graham

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03068611 (Development and Pilot Testing of a Multimodal Web-based Program to Address Heavy Drinking During Smoking Cessation), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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.

NCT03068611 nacompletednot on this map

Development and Pilot Testing of a Multimodal Web-based Program to Address Heavy Drinking During Smoking Cessation

TypeinterventionalSponsorBrown UniversityRan2017 to 2018Enrolled119ConditionsSmoking Cessation, Alcohol DrinkingArmsStandard Web-based Smoking Cessation, Alcohol-focused Web-Based Smoking Cessation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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

6 authors at 5 institutions in 1 country.

Christopher W KahlerDepartment of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, United States.ORCID https://orcid.org/0000-0002-6248-4149
Amy M CohnUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.ORCID https://orcid.org/0000-0001-9034-4293
Catherine CostantinoBrown University School of Public Health, Providence, RI, United States.ORCID https://orcid.org/0000-0001-9209-8372
Benjamin A TollMedical University of South Carolina, Charleston, SC, United States.ORCID https://orcid.org/0000-0001-7978-8416
Nichea S SpillaneDepartment of Psychology, University of Rhode Island, South Kingston, RI, United States.ORCID https://orcid.org/0000-0002-4110-3255
Amanda L GrahamInnovations Center, Truth Initiative, Washington, DC, United States.ORCID https://orcid.org/0000-0003-3036-9653
Brown University · USAmerican Legacy Foundation · USMedical University of South Carolina · USUniversity of Oklahoma Health Sciences Center · USUniversity of Rhode Island · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Development and pilot testing of a multimodal web-based program to address heavy drinking during smoking cessationR34AA024593 · NIAAA · BROWN UNIVERSITY · PI KAHLER, CHRISTOPHER W. · 2016 to 2017
$676k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R34 AA024593
6 · The paper itself

Abstract

backgroundHeavy drinking (HD) is far more common among smokers compared with nonsmokers and interferes with successful smoking cessation. Alcohol-focused smoking cessation interventions delivered by counselors have shown promise, but digital versions of these interventions-which could have far greater population reach-have not yet been tested.

objectiveThis pilot randomized controlled trial aimed to examine the feasibility, acceptability, and effect sizes of an automated digital smoking cessation program that specifically addresses HD using an interactive web-based intervention with an optional text messaging component.

methodsParticipants (83/119, 69.7% female; 98/119, 82.4% white; mean age 38.0 years) were daily smokers recruited on the web from a free automated digital smoking cessation program (BecomeAnEX.org, EX) who met the criteria for HD: women drinking 8+ drinks/week or 4+ drinks on any day and men drinking 15+ drinks/week or 5+ drinks on any day. Participants were randomized to receive EX with standard content (EX-S) or an EX with additional content specific to HD (EX-HD). Outcomes were assessed by web-based surveys at 1 and 6 months.

resultsParticipants reported high satisfaction with the website and the optional text messaging component. Total engagement with both EX-S and EX-HD was modest, with participants visiting the website a median of 2 times, and 52.9% of the participants enrolled to receive text messages. Participants in both the conditions showed substantial, significant reductions in drinking across 6 months of follow-up, with no condition effects observed. Although smoking outcomes tended to favor EX-HD, the condition effects were small and nonsignificant. A significantly smaller proportion of participants in EX-HD reported having a lapse back to smoking when drinking alcohol (7/58, 16%) compared with those in EX-S (18/61, 41%; χ

conclusionsThis is the first trial to examine a digital smoking cessation program tailored to HD smokers. The results provide some initial evidence that delivering such a program is feasible and may reduce the risk of alcohol-involved smoking lapses. However, increasing engagement in this and other web-based interventions is a crucial challenge to address in future work.

trial registrationClinicalTrials.gov NCT03068611; https://clinicaltrials.gov/ct2/show/NCT03068611.

Indexed as

alcohol drinkinginternetsmoking cessationtext messagingtherapy

Identifiers

PMID32348286
PMCPMC7308890
OpenAlexW3026984859

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.