Evidence map›Paper›PMID 36178716›Full record

Trial reportJournal of medical Internet research2022

The Impact of a Clinical Decision Support System for Addressing Physical Activity and Healthy Eating During Smoking Cessation Treatment: Hybrid Type I Randomized Controlled Trial.

Nadia Minian, Mathangee Lingam, Rahim Moineddin, Kevin E Thorpe, Scott Veldhuizen, Rosa Dragonetti, Laurie Zawertailo, Valerie H Taylor, Margaret Hahn, Wayne K deRuiter and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04223336 (A Web-enabled Integrated Care Pathway), 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
–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.

NCT04223336 nacompletednot on this map

A Web-enabled Integrated Care Pathway (ICP) for Addressing Multiple Modifiable Risk Factors as a Part of Smoking Cessation Treatment in Primary Care Settings.

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2019 to 2021Enrolled5,331ConditionsPhysical Activity, Fruits and Vegetable Consumption, Smoking CessationArmsBrief physical activity and diet intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. 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.

Nadia MinianNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0001-8179-3628
Mathangee LingamNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-0184-5369
Rahim MoineddinDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-5506-084X
Kevin E ThorpeDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-7586-3893
Scott VeldhuizenNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0003-3969-2756
Rosa DragonettiNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-8539-1762
Laurie ZawertailoNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-4547-1565
Valerie H TaylorDepartment of Psychiatry, University of Calgary, Calgary, ON, Canada.ORCID 0000-0002-8948-638X
Margaret HahnInstitute of Medical Sciences, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8884-9946
Wayne K deRuiterNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0003-4325-8354
Osnat C MelamedNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-9663-2226
Peter SelbyNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0001-5401-2996

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople who smoke have other risk factors for chronic diseases, such as low levels of physical activity and poor diet. Clinical decision support systems (CDSSs) might help health care practitioners integrate interventions for diet and physical activity into their smoking cessation programming but could worsen quit rates.

objectiveThe aims of this study are to assess the effects of the addition of a CDSS for physical activity and diet on smoking cessation outcomes and to assess the implementation of the study.

methodsWe conducted a pragmatic hybrid type I effectiveness-implementation trial with 232 team-based primary care practices in Ontario, Canada, from November 2019 to May 2021. We used a 2-arm randomized controlled trial comparing a CDSS addressing physical activity and diet to treatment as usual and used the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to measure implementation outcomes. The primary outcome was self-reported 7-day tobacco abstinence at 6 months.

resultsWe enrolled 5331 participants in the study. Of these, 2732 (51.2%) were randomized to the intervention group and 2599 (48.8%) to the control group. At the 6-month follow-up, 29.7% (634/2137) of respondents in the intervention arm and 27.3% (552/2020) in the control arm reported abstinence from tobacco. After multiple imputation, the absolute group difference was 2.1% (95% CI -0.5 to 4.6; F

conclusionsA CDSS for physical activity and diet may be added to a smoking cessation program without affecting the outcomes. Further research is needed to improve the impact of integrated health promotion interventions in primary care smoking cessation programs.

trial registrationClinicalTrials.gov NCT04223336 https://www.clinicaltrials.gov/ct2/show/NCT04223336. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/19157.

Indexed as

Decision Support Systems, ClinicalSmoking CessationDelivery of Health CareDiet, HealthyExerciseHumansOntarioCanadaclinical decision supportclinical decision support systemdiethealth behaviorhealthy eatinginterventionphysical activityprimary careprogramsmokingsmoking cessationtreatment

Identifiers

PMID36178716
PMCPMC9568810

What OpenQuestion holds

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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.