Evidence map›Paper›PMID 41039821›Full record

Trial reportBritish journal of health psychology2025

Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions.

Angela Difeng Wu, Jamie Hartmann-Boyce, Rafael Perera, Rachna Begh, Nicola Lindson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2025. 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
–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

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Angela Difeng WuNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0001-9726-8975
Jamie Hartmann-BoyceDepartment of Health Promotion and Policy, University of Massachusetts, Amherst, Massachusetts, USA.
Rafael PereraNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Rachna BeghNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Nicola LindsonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Funding

British Heart Foundation FS/19/78/34716
6 · The paper itself

Abstract

objectivesEvidence-based support from healthcare professionals improves smoking cessation outcomes, yet intervention rates among UK general practitioners (GPs) remain suboptimal. This exploratory study explored whether framing messages around moral responsibility influences clinicians' intentions to offer smoking cessation support and explored their attitudes towards smoking.

designA between-subjects online experiment was conducted in May 2023 with 300 UK-based GPs and medical students.

methodsParticipants were randomised to one of three message conditions: professional obligation, shared responsibility, or neutral control. They rated their desire, duty, and intention to offer cessation support across clinical scenarios and completed attitude measures.

resultsCompared with control, professional obligation framing was associated with higher intention scores (β = .20, 95% CI [.01, .39]); shared responsibility showed no effect. Subgroup analyses suggested stronger effects among medical students. Contextual factors were influential: higher scores were observed for cardiovascular disease (β = .80) and bipolar disorder (β = .21), while time pressure and patient disinterest reduced intention (β = -.15 and -.14). Attitudes were mixed: 70% viewed smoking as a lifestyle choice, while 88% agreed addiction is a disease.

conclusionsProfessional obligation framing was associated with clinicians' intentions to offer cessation support, particularly among early-career clinicians. Attitudinal inconsistencies highlight a disconnect between clinicians' perceptions and public health guidance. Responsibility-based messaging may be promising for education and training. Given single-item outcomes and the exploratory design, findings should be interpreted cautiously and future work should examine measurement properties more rigorously.

Indexed as

Attitude of Health PersonnelGeneral PractitionersMoral ObligationsSmoking CessationStudents, MedicalAdultFemaleHumansIntentionMaleMiddle AgedUnited Kingdombehaviour changeframinghealthcare professionalsresponsibilitysmokingsmoking cessation

Identifiers

PMID41039821
PMCPMC12491834

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Registered trials

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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.