Evidence map›Paper›PMID 42091148›Full record

Trial reportBMJ open2026

Impact of the POPulation Medicine Multimorbidity Intervention in Xishui County (POPMIX) on people at high risk for COPD who smoke: protocol for the POPMIX-Smoking cluster randomised controlled trial.

Simiao Chen, Ke Huang, Zhoutao Zheng, Yuhao Liu, Shiyu Zhang, Wenjin Chen, Xingyao Tang, Zhong Cao, Lei Tang, Xunliang Tong and 18 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06458205 (Population Medicine Multimorbidity Interventions in Xishui on High-risk COPD Smokers), which is not on this map. Not yet cited in PubMed.

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

NCT06458205 nacompletednot on this map

Population Medicine Multimorbidity Interventions in Xishui on High-risk COPD Smokers: A Cluster Randomized Controlled Trial

TypeinterventionalSponsorPeking Union Medical CollegeRan2024 to 2026Enrolled4,247ConditionsMultimorbidity, Tobacco Use Cessation, Smoking ReductionArmsMulti-component intervention for smokers
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Simiao ChenSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China simiao.chen@uni-heidelberg.de zryyyangting@163.com wangchen@pumc.edu.cn.ORCID http://orcid.org/0000-0003-0555-2157
Ke HuangState Key Laboratory of Respiratory Health and Multimorbidity, Beijing, China.ORCID http://orcid.org/0000-0001-8933-387X
Zhoutao ZhengSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Yuhao LiuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0009-0009-5177-5969
Shiyu ZhangSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0003-2988-5781
Wenjin ChenSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xingyao TangDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China.
Zhong CaoHeidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
Lei TangGuizhou Medical University, Guiyang, Guizhou, China.
Xunliang TongDepartment of Pulmonary and Critical Care Medicine, National Center of Gerontology, Beijing Hospital, Chinese Academy of Medical Sciences Institute of Geriatric Medicine, Beijing, China.ORCID http://orcid.org/0000-0001-5569-1193
Jinghan ZhaoHeidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
Liu HeSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Lirui JiaoDepartment of Health Policy and Management, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Yingping WangCenter for Disease Control and Prevention of Xishui County, Zunyi, Guizhou, China.
Tianying ZhaoCenter for Disease Control and Prevention of Xishui County, Zunyi, Guizhou, China.
Yingchi LuoCenter for Disease Control and Prevention of Xishui County, Zunyi, Guizhou, China.
Qiande LaiDepartment of Pulmonary and Critical Care Medicine, People's Hospital of Xishui County, Zunyi, Guizhou, China.
Xiangqin LyuDepartment of Pulmonary and Critical Care Medicine, People's Hospital of Xishui County, Zunyi, Guizhou, China.
Ruopeng DouSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Qiushi ChenThe Harold and Inge Marcus Department of Industrial and Manufacturing Engineering, Pennsylvania State University University Park, University Park, Pennsylvania, USA.
Aditi BunkerHeidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.
Sebastian VollmerDepartment of Economics and Centre for Modern Indian Studies, University of Goettingen, Goettingen, Germany.ORCID http://orcid.org/0000-0002-7863-0462
Pascal GeldsetzerDivision of Primary Care and Population Health, Stanford University Department of Medicine, Stanford, California, USA.
Dean JamisonDepartment of Epidemiology and Biostatistics and Institute for Global Health Sciences, University of California, San Francisco, California, USA.
Till BärnighausenSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Ting YangState Key Laboratory of Respiratory Health and Multimorbidity, Beijing, China simiao.chen@uni-heidelberg.de zryyyangting@163.com wangchen@pumc.edu.cn.ORCID http://orcid.org/0000-0002-7027-5179
Chen WangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China simiao.chen@uni-heidelberg.de zryyyangting@163.com wangchen@pumc.edu.cn.
POPMIX study investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTobacco use is a major contributor to the burden of chronic obstructive pulmonary disease (COPD) and other non-communicable diseases in China. People at high risk for COPD who smoke, particularly those with pre-existing chronic conditions, often remain underserved by conventional smoking cessation programmes. Population medicine offers a promising framework for proactively identifying high-burden diseases, managing multimorbidity and prioritising interventions for vulnerable populations. METHODS AND ANALYSIS: This protocol describes a stratified, two-arm cluster randomised controlled trial (Population Medicine Multimorbidity Intervention in Xishui County-Smoking) being conducted in Xishui County, a rural area of Guizhou Province, China. A total of 26 townships were stratified by population size and randomly assigned in a 1:1 ratio to receive either a multicomponent intervention or usual care. Eligible participants were individuals aged 35 years or older who smoked and were at high risk for COPD as identified by the COPD Screening Questionnaire. The intervention package integrates multiple components, including a digital smoking cessation programme, digital mental health support, community-based spirometry, tailored chronic disease management, health education and a performance-linked 'pay-for-population' scheme that aligns healthcare worker reimbursement with population health outcomes. Primary outcomes are smoking amount and nicotine dependence and secondary outcomes include COPD-related health outcomes, hypertension, diabetes, health risk behaviours, quality of life, healthcare utilisation and productivity loss. Follow-up occurs at 3, 6 and 12 months. ETHICS AND DISSEMINATION: Ethical approval has been granted by the Peking Union Medical College Ethics Committee (CAMS&PUMC-IEC-2024-042). Informed consent was obtained from all participants prior to enrolment. Results will be shared through peer-reviewed publication and (inter)national conference presentations. TRIAL REGISTRATION NUMBER: NCT06458205.

Indexed as

MultimorbidityPulmonary Disease, Chronic ObstructiveSmokingSmoking CessationAdultChinaFemaleHumansMaleMiddle AgedResearch DesignSpirometryMultimorbidityPrimary CarePUBLIC HEALTHRESPIRATORY MEDICINE (see Thoracic Medicine)

Identifiers

PMID42091148
PMCPMC13150926

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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.