Reid 2003.
Methods | Setting: Cardiac hospital, Canada Recruitment: Inpatients with myocardial infarction, coronary artery bypass graft, coronary angioplasty, coronary angiography, motivated to quit | |
Participants | 254 current smokers (smoked in month before admission); av. age 54 yrs Providers: specialist nurse counsellors |
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Interventions | Intervention: Brief nurse counselling at bedside (5‐10 mins) + booklet . Nurse call at 4 wks; if smoking, offered 3 x 20 min in‐person counselling sessions (wks 4,8,12) and nicotine patch recommended for 8 wks. Nonsmokers reinforced and reminded about relapse prevention Control: Brief nurse counselling (5‐10 mins) + self‐help booklet (same in hospital as intervention group) | |
Outcomes | Abstinence at 12m (7‐day PP) Validation: Random sample of 25 self‐reported non‐smokers asked for CO validation; 91% validated, similar in both arms. Results not adjusted for this. | |
Notes | Classified as 4‐8 sessions, 31‐90 mins. Classified as low take‐up because only 26% scheduled to receive 4 week intervention due to continued smoking | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomization stratified by diagnosis on admission, degree of nicotine dependence using random numbers table |
Allocation concealment (selection bias) | Low risk | Concealed until after assessment and initial counselling |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 19.5% I 9.5% C lost to follow‐up treated as smokers. 2 deaths included using last smoking status. |