Evidence map›Paper›PMID 35584789›Full record

ArticleApplied clinical informatics2022

Electronic Health Record-Embedded, Behavioral Science-Informed System for Smoking Cessation for the Parents of Pediatric Patients.

Brian P Jenssen, Dean J Karavite, Shannon Kelleher, Ekaterina Nekrasova, Jeritt G Thayer, Raj Ratwani, Judy Shea, Emara Nabi-Burza, Jeremy E Drehmer, Jonathan P Winickoff and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Pilot Trial of a Behavioral Economics-Informed Clinical Decision Support Alert to Improve Inpatient Tobacco Use Treatment Rates.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  6. Addressing Tobacco Screening and Treatment Among Racially and Ethnically Minoritized Parents in Pediatric Clinics: Barriers and Facilitators.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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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

13 authors at 4 institutions in 1 country.

Brian P JenssenDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Dean J KaraviteDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Shannon KelleherCenter for Pediatric Clinical Effectiveness, PolicyLab, and The Possibilities Project, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Ekaterina NekrasovaCenter for Pediatric Clinical Effectiveness, PolicyLab, and The Possibilities Project, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Jeritt G ThayerDepartment of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Raj RatwaniMedStar Health National Center for Human Factors in Healthcare, Washington, Dist. of Columbia, United States.
Judy SheaDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Emara Nabi-BurzaDivision of General Academic Pediatrics and Tobacco Research and Treatment Center, Massachusetts General Hospital for Children, Boston, Massachusetts, United States.
Jeremy E DrehmerDivision of General Academic Pediatrics and Tobacco Research and Treatment Center, Massachusetts General Hospital for Children, Boston, Massachusetts, United States.
Jonathan P WinickoffDivision of General Academic Pediatrics and Tobacco Research and Treatment Center, Massachusetts General Hospital for Children, Boston, Massachusetts, United States.
Robert W GrundmeierDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Robert A SchnollDepartment of Psychiatry and Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
Alexander G FiksDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USMassachusetts General Hospital · USMedStar Health · US

Funding

Parents Quit IT: Tailored Messaging and Decision Support to Help Parents Quit Smoking in Pediatric SettingsK08CA226390 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI JENSSEN, BRIAN P. · 2018 to 2022
$932k
NCI NIH HHS K08 CA226390
6 · The paper itself

Abstract

backgroundHelping parents quit smoking is a public health priority. However, parents are rarely, if ever, offered tobacco use treatment through pediatric settings. Clinical decision support (CDS) systems developed for the workflows of pediatric primary care may support consistent screening, treatment, and referral.

objectivesThis study aimed to develop a CDS system by using human-centered design (HCD) that identifies parents who smoke, provides motivational messages to quit smoking (informed by behavioral science), and supports delivery of evidence-based tobacco treatment.

methodsOur multidisciplinary team applied a rigorous HCD process involving analysis of the work environment, user involvement in formative design, iterative improvements, and evaluation of the system's use in context with the following three cohorts: (1) parents who smoke, (2) pediatric clinicians, and (3) clinic staff. Participants from each cohort were presented with scenario-based, high-fidelity mockups of system components and then provided input related to their role in using the CDS system.

resultsWe engaged 70 representative participants including 30 parents, 30 clinicians, and 10 clinic staff. A key theme of the design review sessions across all cohorts was the need to automate functions of the system. Parents emphasized a system that presented information in a simple way, highlighted benefits of quitting smoking, and allowed direct connection to treatment. Pediatric clinicians emphasized automating tobacco treatment. Clinical staff emphasized screening for parent smoking via several modalities prior to the patient's visit. Once the system was developed, most parents (80%) reported that it was easy to use, and the majority of pediatricians reported that they would use the system (97%) and were satisfied with it (97%).

conclusionA CDS system to support parental tobacco cessation in pediatric primary care, developed through an HCD process, proved easy to use and acceptable to parents, clinicians, and office staff. This preliminary work justifies evaluating the impact of the system on helping parents quit smoking.

Indexed as

Behavioral SciencesSmoking CessationTobacco Smoke PollutionChildCounselingElectronic Health RecordsHumansParentsPediatriciansTobacco Smoke Pollution

Identifiers

PMID35584789
PMCPMC9117010
OpenAlexW4280529932

What OpenQuestion holds

Textmetadata
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.