Kalkhoran 2018.
Study characteristics | ||
Methods | Design: Randomized controlled trial Setting: Primary care network, USA Recruitment: interactive voice response technology was used for participant recruitment; contact information was identified from electronic health record |
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Participants | 233 people who smoked, av. age 53, av. cpd 15 | |
Interventions |
Intervention 1: participants received brief counseling provided by a health center‐based Tobacco Care Coordinator, coordinated medications with primary care physicians, and a referral to additional care (in‐person, phone call or text) Intervention 2: participants were transferred directly to a community‐based Quitline for counseling and a free sample of nicotine replacement therapy Control: participants were given the state quitline number and advised to contact their primary care physician for assistance to quit smoking. Each practice had a certified tobacco treatment specialist available 1 day per week to provide free in‐person individual cessation support. Primary care physicians could also fax a referral to the quitline |
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Outcomes | 30‐day PPA at 6m
Validation: None Measures of provider implementation: Assist‐counselling, Assist‐medications |
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Funding Source | Pfizer Independent Grants for Learning and Change | |
Author's declarations of interest | QUOTE: "Drs. Rigotti and Kalkhoran receive royalties from UpToDate, Inc. Dr. Rigotti has been an unpaid consultant to Pfizer, Inc. and a paid consultant to Achieve Life Sciences. No other authors have any conflicts of interest to disclose" | |
Notes | Strategy: Adjunctive counseling, cost‐free medications Level: Patient Comparison types: Multicomponent vs. standard care; single component (adjunctive counseling) vs. standard care |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Sequence Generation | Low risk | Random‐number generator |
Allocation concealment | Low risk | Implemented by interactive voice response |
Blinding of outcome assessors All outcomes | High risk | Smoking status was self‐report, and contact was differential between arms |
Incomplete outcome data All outcomes | Low risk | The overall loss to follow‐up was 45.4% (n = 106/233); 48.1% (n = 38/79) in the internal care coordination group, 47.4% (n = 37/78) in the external community referral group and 40.8% (n = 31/76) in the usual care group were lost to follow‐up at 6 months |