Skip to main content
. 2019 Feb 13;2019(2):CD003999. doi: 10.1002/14651858.CD003999.pub5
Methods Setting: participants' own homes, UK
Recruitment: short‐term quitters recruited from NHS Stop Smoking Clinics
Participants 1404 ex‐smokers (4‐week abstinence), 702 in intervention group and 702 in control
47.3% male, average age 47, average cigarettes per day 20
Interventions 1. Relapse prevention: eight 'Forever Free' self‐help booklets by post
2. Control: single leaflet 'Learning to Stay Stopped' routinely given to NHS patients
Outcomes Continuous abstinence from 2 to 12 months
Validation: CO < 10 ppm at 12 months
Notes Funding: "This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme"
Declaration of Interest: "Paul Aveyard has done ad hoc consultancy and research for the pharmaceutical industry on smoking cessation."
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Simple randomisation method used
Allocation concealment (selection bias) Unclear risk Quote: "The participant allocation was ‘concealed’ because the recruitment of quitters occurred before the random allocation." However, it was unclear how this would achieve allocation concealment.
Blinding of participants and personnel (performance bias) All outcomes Low risk Blinding not performed, but face‐to‐face contact was the same between the two groups, so performance bias unlikely.
Blinding of outcome assessment (detection bias) All outcomes Low risk Biochemically validated abstinence
Incomplete outcome data (attrition bias) All outcomes Low risk Follow‐up rates similar in both groups (intervention = 87%, control = 85%)