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Nursing interventions for smoking cessation

Overview of attention for article published in Cochrane database of systematic reviews, December 2017
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • Good Attention Score compared to outputs of the same age and source (78th percentile)

Mentioned by

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70 tweeters
reddit
1 Redditor

Citations

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13 Dimensions

Readers on

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285 Mendeley
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Title
Nursing interventions for smoking cessation
Published in
Cochrane database of systematic reviews, December 2017
DOI 10.1002/14651858.cd001188.pub5
Pubmed ID
Authors

Virginia Hill Rice, Laura Heath, Jonathan Livingstone-Banks, Jamie Hartmann-Boyce

Abstract

Healthcare professionals, including nurses, frequently advise people to improve their health by stopping smoking. Such advice may be brief, or part of more intensive interventions. To determine the effectiveness of nursing-delivered smoking cessation interventions in adults. To establish whether nursing-delivered smoking cessation interventions are more effective than no intervention; are more effective if the intervention is more intensive; differ in effectiveness with health state and setting of the participants; are more effective if they include follow-ups; are more effective if they include aids that demonstrate the pathophysiological effect of smoking. We searched the Cochrane Tobacco Addiction Group Specialized Register and CINAHL in January 2017. Randomized trials of smoking cessation interventions delivered by nurses or health visitors with follow-up of at least six months. Two review authors extracted data independently. The main outcome measure was abstinence from smoking after at least six months of follow-up. We used the most rigorous definition of abstinence for each trial, and biochemically-validated rates if available. Where statistically and clinically appropriate, we pooled studies using a Mantel-Haenszel fixed-effect model and reported the outcome as a risk ratio (RR) with a 95% confidence interval (CI). Fifty-eight studies met the inclusion criteria, nine of which are new for this update. Pooling 44 studies (over 20,000 participants) comparing a nursing intervention to a control or to usual care, we found the intervention increased the likelihood of quitting (RR 1.29, 95% CI 1.21 to 1.38); however, statistical heterogeneity was moderate (I2 = 50%) and not explained by subgroup analysis. Because of this, we judged the quality of evidence to be moderate. Despite most studies being at unclear risk of bias in at least one domain, we did not downgrade the quality of evidence further, as restricting the main analysis to only those studies at low risk of bias did not significantly alter the effect estimate. Subgroup analyses found no evidence that high-intensity interventions, interventions with additional follow-up or interventions including aids that demonstrate the pathophysiological effect of smoking are more effective than lower intensity interventions, or interventions without additional follow-up or aids. There was no evidence that the effect of support differed by patient group or across healthcare settings. There is moderate quality evidence that behavioural support to motivate and sustain smoking cessation delivered by nurses can lead to a modest increase in the number of people who achieve prolonged abstinence. There is insufficient evidence to assess whether more intensive interventions, those incorporating additional follow-up, or those incorporating pathophysiological feedback are more effective than one-off support. There was no evidence that the effect of support differed by patient group or across healthcare settings.

Twitter Demographics

The data shown below were collected from the profiles of 70 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 285 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 5 2%
Spain 5 2%
United States 2 <1%
Germany 2 <1%
Switzerland 1 <1%
India 1 <1%
Malta 1 <1%
Netherlands 1 <1%
Colombia 1 <1%
Other 1 <1%
Unknown 265 93%

Demographic breakdown

Readers by professional status Count As %
Student > Master 50 18%
Researcher 45 16%
Student > Ph. D. Student 38 13%
Student > Bachelor 33 12%
Student > Doctoral Student 25 9%
Other 94 33%
Readers by discipline Count As %
Medicine and Dentistry 119 42%
Nursing and Health Professions 60 21%
Unspecified 31 11%
Social Sciences 22 8%
Psychology 22 8%
Other 31 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 45. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 October 2018.
All research outputs
#325,377
of 12,369,000 outputs
Outputs from Cochrane database of systematic reviews
#833
of 8,529 outputs
Outputs of similar age
#16,837
of 356,410 outputs
Outputs of similar age from Cochrane database of systematic reviews
#22
of 102 outputs
Altmetric has tracked 12,369,000 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,529 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.2. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 356,410 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 102 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 78% of its contemporaries.