Evidence map›Paper›PMID 39348775›Full record

Trial reportAddictive behaviors2025

A randomized controlled trial evaluation of a smoking cessation and physical activity intervention delivered via telemedicine in the Norton Sound region of Alaska.

Judith J Prochaska, Erin A Vogel, Marily Oppezzo, Jordan Skan, Mariah Knox, Amy Chieng, Maria C Crouch, Rachael C Aikens, Matthew Schnellbaecher, Neal L Benowitz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2025. 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. Review
  2. Review
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

10 authors.

Judith J ProchaskaStanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA. Electronic address: jpro@stanford.edu.
Erin A VogelStanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA.
Marily OppezzoStanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA.
Jordan SkanAlaska Native Tribal Health Consortium, Cardiology Department, Anchorage, AK 99508, USA.
Mariah KnoxAlaska Native Tribal Health Consortium, Cardiology Department, Anchorage, AK 99508, USA.
Amy ChiengStanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, CA 94304, USA.
Maria C CrouchYale School of Medicine, Department of Psychiatry, New Haven, CT 06511, USA.
Rachael C AikensBiomedical Informatics, Stanford University, Palo Alto, CA 94304, USA.
Matthew SchnellbaecherAlaska Native Tribal Health Consortium, Cardiology Department, Anchorage, AK 99508, USA.
Neal L BenowitzDepartment of Medicine, Division of Cardiology, University of California, San Francisco, CA 94110, USA.

Funding

Research Support CoreP30DA012393 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JACOB, PEYTON, JONES, REESE T. · 1999 to 2024
$17.1M
Mentoring Emerging Scientists for Careers in Substance Use ResearchR25DA035163 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Carmen L Masson, Gideon St.Helen · 2014 to 2026
$4.6M
Technology Innovations for Supporting Health in Alaska Native PeopleR01HL117736 · NHLBI · STANFORD UNIVERSITY · PI BENOWITZ, NEAL L, PROCHASKA, JUDITH J. · 2014 to 2018
$3.8M
Tweet4Wellness: Development and RCT of Mobile Social Support Groups for Sedentary Behavior ReductionK01HL136702 · NHLBI · STANFORD UNIVERSITY · PI OPPEZZO, MARILY · 2018 to 2022
$822k
Liquid Chromatograph-Triple Quadrupole Mass SpectrometerS10RR026437 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JACOB, PEYTON · 2010 to 2010
$448k
Secondary Analyses of Clinical Trial Data to Understand Factors Associated with Alcohol Use Among Alaska Native PopulationsF32AA029627 · NIAAA · YALE UNIVERSITY · PI CROUCH, MARIA CHRISTINA · 2021 to 2023
$215k
NCRR NIH HHS S10 RR026437NHLBI NIH HHS K01 HL136702NHLBI NIH HHS R01 HL117736NIAAA NIH HHS F32 AA029627NIDA NIH HHS P30 DA012393NIDA NIH HHS R25 DA035163
6 · The paper itself

Abstract

objectivesTobacco use disproportionately affects Alaska Native people. Physical activity may aid quitting smoking and provides health benefits. We tested telemedicine-delivered heart health interventions in Alaska's Norton Sound region.

methodsAlaska Native adults (N = 299, 51.5 % male, 60.5 % Inupiaq) with hypertension and/or hypercholesterolemia who smoked daily were randomized to intervention on smoking and physical activity (group 1) or traditional diet and medication adherence (group 2). Intention to change was not required for participation. Stage-tailored mailed workbooks and personalized reports were supported by telehealth counseling at baseline, 3, 6, and 12 months. Study outcomes were assessed at baseline, 3-, 6-, 12-, and 18-months (i.e., 6-months after the final counseling session). Smoking outcomes were self-reported 7-day point prevalence abstinence (7d-PPA),

resultsAt baseline, participants averaged 12.4 (SD = 10.0) cigarettes/day, with 19.4 % prepared to quit smoking, and 81.6 % meeting MVPA guidelines. During the study, most (70.2 % group 1; 63.5 % group 2) reported a 24-hr quit attempt (p = 0.219), and Group 1 (53.6 %) was more likely than Group 2 (28.4 %) to use nicotine replacement therapy (NRT), OR = 2.92, p < 0.001. At 18-months, 40.5 % (group 1) and 32.5 % (group 2) had reduced their smoking by half or more (p = 0.343), and 10.8 % vs. 7.9 % (group 1 vs. 2) reported 7d-PPA with 4 % vs. 6 % (group 1 vs. 2) bioconfirmed. Time and baseline stage of change predicted 7d-PPA (p's≤.015), with no group effect (p = 0.325). Activity levels did not significantly differ by group or time.

conclusionsTelemedicine counseling supported NRT use but did not significantly affect behavioral outcomes.

Indexed as

Alaska NativesExerciseSmoking CessationTelemedicineAdultAgedAlaskaCounselingFemaleHumansHypercholesterolemiaHypertensionMaleMedication AdherenceMiddle AgedTreatment OutcomeCardiovascular diseaseIndigenous healthPhysical activityTelemedicineTobacco

Identifiers

PMID39348775
PMCPMC11560622

What OpenQuestion holds

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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.