Evidence map›Paper›PMID 37658343›Full record

ArticleBMC health services research2023

Study protocol of an economic evaluation embedded in the Midwives and Obstetricians Helping Mothers to Quit Smoking (MOHMQuit) trial.

Alison Pearce, Joanne Scarfe, Matthew Jones, Aaron Cashmore, Andrew Milat, Larisa Barnes, Megan E Passey

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 2 countries.

Alison PearceThe Daffodil Centre, a joint venture between Cancer Council NSW and The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-5690-9542
Joanne ScarfeThe Daffodil Centre, a joint venture between Cancer Council NSW and The University of Sydney, Sydney, Australia. joanne.scarfe@sydney.edu.au.ORCID http://orcid.org/0000-0003-3773-4537
Matthew JonesCentre for Academic Primary Care, Unit of Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-4824-9724
Aaron CashmoreSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-0328-7364
Andrew MilatSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0003-3126-3463
Larisa BarnesThe Daffodil Centre, a joint venture between Cancer Council NSW and The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-9847-775X
Megan E PasseyThe Daffodil Centre, a joint venture between Cancer Council NSW and The University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0001-5766-0235
The University of Sydney · AUUniversity of Nottingham · GB

Funding

National Health and Medical Research Council 1185261
6 · The paper itself

Abstract

backgroundTobacco smoking during pregnancy is the most important preventable risk factor for pregnancy complications and adverse birth outcomes and can have lifelong consequences for infants. Smoking during pregnancy is associated with higher healthcare costs related to birth complications and during childhood. Psychosocial interventions to support pregnant women to quit are effective, yet provision of smoking cessation support has been inconsistent. The Midwives and Obstetricians Helping Mothers to Quit Smoking (MOHMQuit) intervention provides systems change, and leadership and clinician elements, to support clinicians to help women stop smoking in pregnancy. There have been few long-term analyses conducted of the cost-effectiveness of smoking cessation interventions for pregnant women that target healthcare providers. This protocol describes the economic evaluation of the MOHMQuit trial, a pragmatic stepped-wedge cluster-randomised controlled implementation trial in nine public maternity services in New South Wales (NSW), Australia, to ascertain whether MOHMQuit is cost-effective in supporting clinicians to help women quit smoking in pregnancy compared to usual care.

methodsTwo primary analyses will be carried out comparing MOHMQuit with usual care from an Australian health care system perspective: i) a within-trial cost-effectiveness analysis with results presented as the incremental cost per additional quitter; and ii) a lifetime cost-utility analysis using a published probabilistic decision analytic Markov model with results presented as incremental cost per quality-adjusted life-year (QALY) gained for mother and child. Patient-level data on resource use and outcomes will be used in the within-trial analysis and extrapolated and supplemented with national population statistics and published data from the literature for the lifetime analysis. DISCUSSION: There is increasing demand for information on the cost-effectiveness of implementing healthcare interventions to provide policy makers with critical information for the best value for money within finite budgets. Economic evaluation of the MOHMQuit trial will provide essential, policy-relevant information for decision makers on the value of evidence-based implementation of support for healthcare providers delivering services for pregnant women. TRIAL REGISTRATIONS: ACTRN12622000167763, registered 2 February 2022.

Indexed as

MidwiferySmoking CessationAustraliaChildCost-Benefit AnalysisFemaleHumansInfantMothersObstetriciansPragmatic Clinical Trials as TopicPregnancyRandomized Controlled Trials as TopicSmokingTobacco SmokingCost-effectiveEconomic evaluationImplementation trialPregnancySmokingSmoking cessation supportTobacco

Identifiers

PMID37658343
PMCPMC10472694
OpenAlexW4386376008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.