Evidence map›Paper›PMID 36101579›Full record

ArticlePublic health in practice (Oxford, England)2021

A digital solution to streamline access to smoking cessation interventions in England; findings from a primary care pilot (STOPNOW study).

Austen El-Osta, Christina Hennessey, Caroline Pilot, Mohammad Aumran Tahir, Emmanouil Bagkeris, Mohammad Akram, Ahmed Alboksmaty, Evelina Barbanti, Marize Bakhet, Valentina Vos and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health in practice (Oxford, England), 2021. 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
–field-weighted citation impact
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.

  1. Article
  2. 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

12 authors.

Austen El-OstaDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Christina HennesseyClinical Director, West London GP Federation, 2b Hogarth Road, London, SW5 0PT, UK.
Caroline PilotDocly UK Chief Medical Officer, 20-22 Berkeley Square, London, W1J 6EQ, United Kingdom.
Mohammad Aumran TahirAT Medics 26-28 Streatham Place, London, SW2 4QY, UK.
Emmanouil BagkerisNational Heart & Lung Institute, Imperial College London, Royal Brompton Hospital, SW3 6LR, UK.
Mohammad AkramAT Medics 26-28 Streatham Place, London, SW2 4QY, UK.
Ahmed AlboksmatyDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Evelina BarbantiDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Marize BakhetDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Valentina VosDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Ricky BanarseeDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.
Azeem MajeedDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, W6 8RF, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Despite the proven efficacy of several smoking cessation medications that have been shown to improve long-term abstinence rates, approximately two-thirds of smokers report not having used medication in their most recent quit attempt. A main barrier could be delayed access to pharmacological interventions. This study investigated the utility of a primary care linked online portal to streamline timely access to pharmacological support to patients who want to quit smoking by making an asynchronous request for treatment to their general practitioner. Study design: Prospective cohort study. Methods: An online portal with added functionality was developed, which allowed patients with a unique link to make an asynchronous request for treatment. Two GP practices identified a total of 4337 eligible patients who received an SMS or email invite to engage with an online portal including an electronic survey to capture information about smoking behaviours and to request treatment. Portal informatics and patient level data were analysed to measure the efficacy of the online system in reducing the time between making a formal request to treatment and access to pharmacological support. The primary outcome measure was the time between making a formal request for treatment and access to pharmacological support from a designated community pharmacy. Results: 323 patients (7.4%) initiated the survey, but only 56 patients completed the survey and made a formal request for treatment. 94% of participants did not return to use the portal to make a second or follow-up request for treatment. Only 3 participants completed the 12-week pathway. A total of 75 medication items were prescribed and collected by 56 patients. The time difference between the formal request to treatment and GP review ranged between 20 h and 1 week. The time difference between approval of prescription by the GP and access to medication was 5 days ± 2.1 days (range = 1.9-7.0 days). Conclusion: The widespread adoption and diffusion of an IT enabled and asynchronous primary care led remote consultation pathway can streamline timely access to smoking cessation support without the need for the patient to see a GP or an independent prescriber in the first instance.

Indexed as

eConsultationPrimary careSmokingSmoking cessationTobacco

Identifiers

PMID36101579
PMCPMC9461505

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Registered trials

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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.