Evidence map›Paper›PMID 30768768›Full record

ArticleArthritis care & research2020

Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics.

Aimée Wattiaux, Brittany Bettendorf, Laura Block, Andrea Gilmore-Bykovskyi, Edmond Ramly, Megan E Piper, Ann Rosenthal, Jane Sadusky, Elizabeth Cox, Betty Chewning and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Arthritis care & research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. How do people with rheumatoid arthritis experience participation in a smoking cessation trial: a qualitative study.International journal of qualitative studies on health and well-being · 2020
    Article
  12. 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

11 authors.

Aimée WattiauxUniversity of Wisconsin, Madison.
Brittany BettendorfMedical College of Wisconsin, Milwaukee, and University of Iowa, Iowa City.
Laura BlockUniversity of Wisconsin, Madison.
Andrea Gilmore-BykovskyiUniversity of Wisconsin, Madison.
Edmond RamlyUniversity of Wisconsin, Madison.
Megan E PiperUniversity of Wisconsin, Center for Tobacco Research and Intervention, Madison.
Ann RosenthalMedical College of Wisconsin, Milwaukee.
Jane SaduskySadusky Consulting, Madison, Wisconsin.
Elizabeth CoxUniversity of Wisconsin, Madison.
Betty ChewningUniversity of Wisconsin, Madison.
Christie M BartelsUniversity of Wisconsin, Madison.ORCID 0000-0001-6523-0374

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

objectiveAlthough smoking is a risk factor for cardiovascular and rheumatic disease severity, only 10% of rheumatology visits document cessation counseling. After implementing a rheumatology clinic protocol that increased tobacco quitline referrals 20-fold, we undertook this study to examine patients' barriers and facilitators to smoking cessation based on prior rheumatology experiences, to solicit reactions to the new cessation protocol, and to identify patient-centered outcomes or signs of cessation progress following improved care.

methodsWe recruited 19 patients who smoke (12 with rheumatoid arthritis [RA] and 7 with systemic lupus erythematosus [SLE]) to participate in 1 of 3 semistructured focus groups. Transcripts of the focus group discussions were analyzed using thematic analysis to classify barriers, facilitators, and signs of cessation progress.

resultsParticipant-reported barriers and facilitators to cessation involved psychological, health-related, and social and economic factors, as well as health care messaging and resources. Commonly discussed barriers included viewing smoking as a crutch amid rheumatic disease, rarely receiving cessation counseling in rheumatology clinics, and very limited awareness that smoking can worsen rheumatic diseases or reduce efficacy of some rheumatic disease medications. Participants endorsed our cessation protocol with rheumatology-specific education and accessible resources, such as a quitline. Beyond quitting, participants prioritized knowing why and how to quit as signs of progress outcomes.

conclusionFocus groups identified themes and categories of facilitators/barriers to smoking cessation at the levels of patient and health system. Two key outcomes of improving cessation care for patients with RA and SLE were knowing why and how to quit. Emphasizing rheumatologic health benefits and cessation resources is essential when designing and evaluating rheumatology smoking cessation interventions.

Indexed as

RheumatologyAdultFemaleFocus GroupsHumansMaleMiddle AgedSmoking Cessation

Identifiers

PMID30768768
PMCPMC6697238

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.