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. 2018 May 31;2018(5):CD000146. doi: 10.1002/14651858.CD000146.pub5

Niaura 1999.

Methods Country: USA
 Recruitment: community volunteers
Participants 62 smokers in relevant arms
 50% female, average cpd 28, average age 43.5
Interventions 1. Brief cognitive behavioral relapse prevention (CBRP) , 15‐min sessions
 2. Intensive CBRP with nicotine gum (2 mg)
 3. Intensive CBRP with cue exposure
 4. Intensive CBRP with cue exposure + nicotine gum
 Level of support: high (5 group sessions within 3 weeks of TQD)
Outcomes Sustained abstinence, 12 months and all previous follow‐ups (1, 3, 6 months)
 Validation: CO < 8 ppm
Notes 4 vs 3, behavioural support not identical in others. No placebo
 Study was supported by Department of Veterans Affairs
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Quote: "Counselors were kept blind to the relapse prevention condition to which subjects were assigned". Participants not blinded, and no placebo
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Losses to follow‐up fully reported