Evidence map›Paper›PMID 39375517›Full record

ArticleCommunications medicine2024

Increasing digital equity to promote online smoking cessation program engagement among rural adults: a randomized controlled pilot trial.

Sydney Kelpin, Tabetha A Brockman, Paul A Decker, Antonia Young, Kasey Boehmer, Aaron Nguyen, Celia Kamath, Jennifer St Sauver, Pamela S Sinicrope, Pravesh Sharma and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05209451 (Increasing Digital Equity and Access Among Rural Patients), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05209451 nacompletednot on this map

Increasing Digital Equity and Access Among Rural Patients (IDEA) Study

TypeinterventionalSponsorMayo ClinicRan2022 to 2023Enrolled90ConditionsSmoking CessationArmsDigital, evidence-based behavioral health program for smoking cessation, Bluetooth enabled iPad, Coaching Support
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. 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

19 authors.

Sydney KelpinDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Tabetha A BrockmanDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Paul A DeckerDepartment of Quantitative Health Sciences, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0002-3756-4227
Antonia YoungDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Kasey BoehmerHealth Care Delivery Research, Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Aaron NguyenDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Celia KamathHealth Care Delivery Research, Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Jennifer St SauverHealth Care Delivery Research, Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Pamela S SinicropeDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Pravesh SharmaDepartment of Psychiatry & Psychology, Mayo Clinic Health System, 1221 Whipple St., Eau Claire, WI, 54703, USA.
Rozalina McCoyDivision of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Geriatrics, and Palliative Care, Department of Medicine, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0002-2289-3183
Summer AllenFamily Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Ming HuangDepartment of Artificial Intelligence and Informatics, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Joshua PritchettHematology/Oncology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Dmitry EsterovPhysical Medicine and Rehabilitation, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Michelle LampmanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Carolyn PetersenDivision of HE&CS, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.ORCID http://orcid.org/0000-0002-2136-1273
Andrea ChevillePhysical Medicine and Rehabilitation & Palliative Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Christi A PattenDepartment of Psychiatry & Psychology, Behavioral Health Research Program, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. patten.christi@mayo.edu.ORCID http://orcid.org/0000-0002-7194-8160

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
The Role of Patient Capacity in Chronic Kidney Disease TrajectoriesK01DK133643 · NIDDK · MAYO CLINIC ROCHESTER · PI Kasey Boehmer · 2023 to 2026
$601k
NCATS NIH HHS UL1 TR002377NCI NIH HHS P30 CA015083NIDDK NIH HHS K01 DK133643U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR002377
6 · The paper itself

Abstract

backgroundCigarette smoking prevalence is higher for rural than urban adults, yet digital access to cessation programming is reduced. We aim to investigate digital access interventions to promote engagement with an online evidence-based cessation treatment (EBCT) program among rural adults.

methodsThis pilot trial used a pragmatic, three-arm, randomized, parallel-group design (ClinicalTrials.gov: NCT05209451). Inclusion criteria included being aged ≥18, Mayo Clinic Midwest patient, rural residency, and currently smokes cigarettes. All participants received an online, 12-week EBCT program and were randomized to receive one of three digital access interventions: print materials (control, n = 30); print materials + loaner iPad device with data plan coverage (n = 30); or print materials + loaner device + up to six, 15-20-minute motivational interviewing-based coaching calls to support technology needs (n = 30). A composite score of trial engagement (primary outcome) and self-reported smoking abstinence and use of EBCT resources (secondary outcomes) were assessed online at 4 and 12 weeks. Qualitative interviews were used to assess patient experience. Neither participants nor outcome assessors were blinded to group assignment.

resultsResults are reported for all 30 participants in each group. The average age of participants is 51.0 years and 61% are women. We show no significant arm differences for the trial engagement composite score (p = 0.30). We also find coaching support is significantly (p < 0.05) associated with enhanced smoking-related treatment response, including cigarette abstinence and use of EBCT resources, and participants reported positive experiences with the intervention.

conclusionsThe coaching intervention to support technology needs is acceptable and shows preliminary evidence of its efficacy in smoking-related treatment response. Further studies could refine and implement the coaching intervention for trial engagement and long-term cessation.

Identifiers

PMID39375517
PMCPMC11458838

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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.