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. 2019 Feb 13;2019(2):CD003999. doi: 10.1002/14651858.CD003999.pub5
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"