Evidence map›Paper›PMID 36701401›Full record

Trial reportPloS one2023

Effect of quitting immediately vs progressively on smoking cessation for smokers at emergency department in Hong Kong: A posteriori analysis of a randomized controlled trial.

William Ho Cheung Li, Wei Xia, Man Ping Wang, Derek Yee Tak Cheung, Kai Yeung Cheung, Carlos King Ho Wong, Tai Hing Lam

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02660957 (Effectiveness of a Brief, Self-determination Intervention for Smoking Cessation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 52% 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.

NCT02660957 nacompletednot on this map

Effectiveness of a Brief, Self-determination Intervention for Smoking Cessation (Immediate or Progressive) Among People Attending Emergency Departments: a Randomised Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2015 to 2018Enrolled1,571ConditionsSmokingArmsself-determination smoking cessation, placebo comparator
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Observational
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

7 authors at 4 institutions in 2 countries.

William Ho Cheung LiNethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-2562-769X
Wei XiaSchool of Nursing, Sun Yat-Sen University, Guangzhou, China.
Man Ping WangSchool of Nursing, The University of Hong Kong, Hong Kong, Hong Kong.
Derek Yee Tak CheungSchool of Nursing, The University of Hong Kong, Hong Kong, Hong Kong.
Kai Yeung CheungUnited Christian Hospital, Hospital Authority, Hong Kong, Hong Kong.
Carlos King Ho WongDepartment of Pharmacology and Pharmacy & Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-6895-6071
Tai Hing LamSchool of Nursing, The University of Hong Kong, Hong Kong, Hong Kong.
University of Hong Kong · HKChinese University of Hong Kong · HKHospital Authority · HKSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA progressive approach to quitting smoking has been a popular strategy for motivating smokers who are reluctant to quit. However, whether this strategy can effectively achieve complete cessation or is as successful as quitting immediately remains unresolved. This study aimed to determine whether quitting immediately or progressively was more effective in achieving complete cessation among smokers in Hong Kong who presented at emergency departments. METHODS AND

findingsA posteriori analysis of a single-blinded, multicenter, randomized controlled trial was performed. The original trials was conducted at emergency departments of four major acute hospitals in different districts of Hong Kong. In total, 1571 smokers 18 years or older who presented at 4 major emergency departments between July 4, 2015 and March 17, 2017 were randomized into an intervention group (n = 787) and a control group (n = 784). The intervention group received brief advice (about 1 minute) and could choose their own quit schedules (immediate or progressive, labeled QI and QP, respectively). The control group received a smoking cessation leaflet. Follow-ups were conducted at 1, 3, 6 and 12 months. The primary outcomes, by intention-to-treat, were biochemically validated abstinence between the QI subgroup and control group; between the QP subgroup and control group, and between the QI subgroup and QP subgroup at 6 months. After the propensity sore matching, the biochemically validated abstinence was statistically significantly higher in the QI subgroup than the control group at 6 months (12.1% vs 3.4%, P = 0.003; adjusted odds ratio [aOR] 4.34, 95% CI 1.63-11.52) and higher in the QP subgroup than the control group at 6 months (9.8% vs 3.4%, P = 0.02; aORs 2.95, 95% CI: 1.04-8.39). No statistically significant differences of biochemically validated abstinence at both 6 month (12.1% vs 9.8%, P = 0.49; aORs 1.50, 95% CI: 0.71-3.19) were found in the comparison between QI and QP subgroups.

conclusionsThis study demonstrates that the strategy of quitting progressively is effective, especially for smokers who lack motivation or find it difficult to quit. If adopted routinely, such an approach can help achieve a greater level of smoking abstinence in the community.

trial registrationClinicalTrials.gov: NCT02660957.

Indexed as

Smoking CessationEmergency Service, HospitalHong KongHumansSmokersSmoking

Identifiers

PMID36701401
PMCPMC9879435
OpenAlexW4318142136

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.