Evidence map›Paper›PMID 36585318›Full record

Trial reportAnnals of emergency medicine2023

Successful Optimization of Tobacco Dependence Treatment in the Emergency Department: A Randomized Controlled Trial Using the Multiphase Optimization Strategy.

Steven L Bernstein, James Dziura, June Weiss, Avis H Brooks, Ted Miller, Katrina A Vickerman, Lauretta E Grau, Michael V Pantalon, Lorien Abroms, Linda M Collins and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  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

11 authors at 6 institutions in 1 country.

Steven L BernsteinDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT; Yale Center for Implementation Science, New Haven, CT; Yale Cancer Center, New Haven, CT. Electronic address: steven.l.bernstein@hitchcock.org.
James DziuraDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT.
June WeissDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Avis H BrooksDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Ted MillerPacific Institute of Research and Evaluation, Calverton, MD.
Katrina A VickermanAlere Wellbeing, Seattle, WA.
Lauretta E GrauYale Center for Implementation Science, New Haven, CT; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT.
Michael V PantalonDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Lorien AbromsDepartment of Prevention and Community Health, Milken Institute School of Public Health at George Washington University, Washington, DC.
Linda M CollinsThe Methodology Center and Department of Human Development and Family Studies, Pennsylvania State University, State College, PA.
Benjamin TollYale Cancer Center, New Haven, CT; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Yale University · USYale Cancer Center · USAlere (United States) · USMilken Institute · USPacific Institute For Research and Evaluation · USPennsylvania State University · 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
Optimizing Tobacco Dependence Treatment in the Emergency DepartmentR01CA201873 · NCI · YALE UNIVERSITY · PI DZIURA, JAMES DAVID · 2016 to 2019
$2.7M
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA201873
6 · The paper itself

Abstract

STUDY

objectiveTobacco dependence treatment initiated in the hospital emergency department (ED) is effective. However, trials typically use multicomponent interventions, making it difficult to distinguish specific components that are effective. In addition, interactions between components cannot be assessed. The Multiphase Optimization Strategy allows investigators to identify these effects.

methodsWe conducted a full-factorial, 2

resultsBetween February 2017 and May 2019, we enrolled 1,056 adult smokers visiting the ED. Odd ratios (95% confidence intervals) from the primary analysis of biochemically confirmed abstinence rates at 3 months for each intervention, versus control, were: brief negotiation interview, 1.8 (1.1, 2.8); nicotine replacement therapy, 2.1 (1.3, 3.2); quitline, 1.4 (0.9, 2.2); SmokefreeTXT, 1.1 (0.7, 1.7). There were no statistically significant interactions among components. Economic and qualitative analyses are in progress.

conclusionThe brief negotiation interview and nicotine replacement therapy were efficacious. This study is the first to identify components of ED-initiated tobacco dependence treatment that are individually effective. Future work will address the scalability of the brief negotiation interview and nicotine replacement therapy by offering provider-delivered brief negotiation interviews and nicotine replacement therapy prescriptions.

Indexed as

AlcoholismSmoking CessationTobacco Use DisorderAdultEmergency Service, HospitalHumansTobacco Use Cessation DevicesTreatment Outcome

Identifiers

PMID36585318
PMCPMC9868063
OpenAlexW4313340279

What OpenQuestion holds

Textmetadata
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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.