Evidence map›Paper›PMID 40398953›Full record

ArticleBMJ open2025

Synthesis using prospective meta-analysis to reduce youths' e-cigarette use (SPARKE): a protocol for an individual participant data prospective meta-analysis (IPD PMA) examining interventions for the prevention of youth e-cigarette use.

Sam McCrabb, Kylie E Hunter, Heidi Turon, Courtney Barnes, Jonathan G Williams, Mason Aberoumand, Emily Banks, Serene Yoong, Andrew Milat, Rebecca K Hodder and 11 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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 synthesis or guideline pooled it.

  1. Pooled it
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

21 authors.

Sam McCrabbSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia sam.mccrabb@newcastle.edu.au.ORCID http://orcid.org/0000-0002-4216-0251
Kylie E HunterUniversity of Sydney, NHMRC Clinical Trials Centre, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0002-2796-9220
Heidi TuronSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Courtney BarnesSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID http://orcid.org/0000-0003-4870-910X
Jonathan G WilliamsUniversity of Sydney, NHMRC Clinical Trials Centre, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0002-2878-0999
Mason AberoumandUniversity of Sydney, NHMRC Clinical Trials Centre, Camperdown, New South Wales, Australia.
Emily BanksThe National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0002-4617-1302
Serene YoongSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Andrew MilatSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Rebecca K HodderSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Lauren A GardnerThe Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-8592-6691
Nicola NewtonThe Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, New South Wales, Australia.
Melissa A LittleDepartment of Public Health Sciences, University of Viriginia Cancer Center, University of Virginia, Charlottesville, Virginia, USA.
Bonnie Halpern-FelsherREACH Lab, Department of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California, USA.
Christine SteegerInstitute of Behavioral Science, University of Colorado Boulder, Boulder, Colorado, USA.
Kristen R FoxCenter for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Peter WymanDepartment of Chhild and Adolescent Psychiatry, School of Medicine, University of Rochester, Rochester, New York, USA.
Lydia ShrierDivision of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Sion Kim HarrisDivision of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Lene SeidlerUniversity of Sydney, NHMRC Clinical Trials Centre, Camperdown, New South Wales, Australia.
Luke WolfendenSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.

Funding

Computer-facilitated Screening and Brief Intervention in pediatric primary care to reduce underage drinking: a large multi-site randomized trial (ADMIN SUPP: Special Interest)R01AA027253 · NIAAA · BOSTON CHILDREN'S HOSPITAL · PI HARRIS, SION KIM, SHRIER, LYDIA A. · 2020 to 2024
$3.6M
Evaluation of the Be Vape Free Curriculum of the Tobacco Prevention ToolkitR01CA263121 · NCI · STANFORD UNIVERSITY · PI HALPERN-FELSHER, BONNIE L · 2021 to 2025
$3.4M
Testing Peer-led Network Intervention to Prevent Adolescent VapingR01DA050991 · NIDA · UNIVERSITY OF ROCHESTER · PI WYMAN, PETER A · 2020 to 2025
$3.4M
A Tailored mHealth Vaping Prevention Intervention for Adolescents with Congenital Heart DefectsK23HL166771 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Kristen R. Fox · 2023 to 2026
$717k
NCI NIH HHS R01 CA263121NHLBI NIH HHS K23 HL166771NIAAA NIH HHS R01 AA027253NIDA NIH HHS R01 DA050991
6 · The paper itself

Abstract

introductionYouth electronic cigarette (e-cigarette) use is a global health challenge, with multiple jurisdictions wrestling with appropriate responses, in the face of limited evidence available on effective interventions. Identifying and synthesising evidence on the effects of interventions to prevent youth e-cigarette use is required to inform prevention-focussed health policy and practice. METHODS AND ANALYSIS: We plan to undertake an individual participant data (IPD) prospective meta-analysis (PMA). We will conduct systematic searches to identify eligible planned or ongoing randomised controlled trials (RCTs) using trial registries via WHO ICTRP and ClinicalTrials.gov and databases Medline, Embase, CENTRAL, PsycINFO, Web of Science, CINAHL and Europe PMC. We will also search grant websites for additional studies. We will include any RCT of e-cigarette and cigarette prevention interventions for youth including non-smoking and non-vaping youth aged 10 to 19 years, with no intervention, waitlist, usual care or active control. Primary outcomes will be measures of current or ever e-cigarette use. Secondary outcomes include measures of current and ever cigarette (conventional cigarette) use.Investigators from relevant trials will be invited to join the Synthesis using Prospective meta-Analysis to Reduce youths' E-cigarette use (SPARKE) consortium prior to trial outcomes being known using harmonised methods. They are then asked to share their data within 12 months of trial completion.The primary outcomes will be analysed in a two-stage IPD meta-analysis model under an intention-to-treat framework. First, effect estimates and variances will be calculated for each trial with log-binomial regression models adjusting for key prognostic factors. For cluster RCTs, a nested random effect will be specified within trials to account for correlations within clusters. Second, effect estimates will be combined across trials in a random treatment effect, inverse variance meta-analysis model. Effect estimates will be reported as relative risk ratios with 95% CIs. DISCUSSION: This study aims to generate and expedite the synthesis of data regarding prevention interventions for adolescent e-cigarette use to inform real-world decision making. Findings will be of interest to key stakeholders, including policy makers and research funders. ETHICS AND DISSEMINATION: Each trial will be responsible for obtaining their own ethics approval. While secondary analysis of data does not usually require ethics approval, we have received cross-institutional ethics approval from the University of Sydney (2023/714) and the University of Newcastle (H-2023-0389).

Indexed as

Electronic Nicotine Delivery SystemsSmoking PreventionVapingAdolescentChildHumansMeta-Analysis as TopicProspective StudiesRandomized Controlled Trials as TopicResearch DesignYoung AdultAdolescentMeta-AnalysisPreventive Health ServicesPUBLIC HEALTHTobacco Use

Identifiers

PMID40398953
PMCPMC12096961

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.