Methods | Setting: participants in national Quit and Win contest, Netherlands Recruitment: email to Quit and Win participants |
|
Participants | 1566 participants in national Quit & Win contest (daily smokers, smoking for at least 1 year, 18 years or older) 60.8% female, average age 36.2, average cpd 18.5, average length of smoking 19.1 years |
|
Interventions | Quit and Win contest included 1‐month cessation period, including computer‐tailored cessation advice and telephone counselling Intervention: participants asked to formulate three coping plans when completing baseline survey Control: baseline survey only (not prompted to formulate coping strategies) |
|
Outcomes | Continuous abstinence and 7‐d PP at 7 months Validation: none, although participants had buddies and were informed that biochemical abstinence would be performed for contest winners |
|
Notes | New for 2013 update Unclear how abstinence data were obtained Including only respondents increased evidence of effect |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | "Based on odd or even registration numbers" |
Allocation concealment (selection bias) | Unclear risk | Centralised, but unclear whether participants aware of their registration numbers |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | No blinding reported, but because of the nature of the intervention, performance bias unlikely |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | 'Buddy' validation and knowledge of biochemical validation would be used for any contest winners, nature of intervention made differential misreport unlikely |
Incomplete outcome data (attrition bias) All outcomes | High risk | Very high rates of dropout at 7 months (64% control, 63% intervention). "The relatively high attrition suffered across the two follow‐up measurements may restrict validity of the results and may have caused biases in reported abstinence rates" |