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. 2019 Mar 26;2019(3):CD004705. doi: 10.1002/14651858.CD004705.pub5

Risser 1990.

Methods Setting: US Veterans Administration Demonstration Project
 Recruitment: veterans attending a health promotion clinic
 Selected: responding to mailed invitations for health promotion. Some recruited at second visit.
Participants 90 smokers (not defined); mean age 53.7 years (55.5 vs 51.7), 4% female, mean cpd: 23.5, mean pack‐year: 60.4
 Initial cessation intent: 51% vs 44%
 Therapist: nurse‐practitioner
Interventions Intervention: spirometry, exhaled CO, discussion of pulmonary symptoms + control intervention
 Control: 50‐minute educational intervention, review of self‐help manual, invitation to a 9‐session 1‐to‐1 counselling programme
Outcomes Definition of abstinence: point prevalence
 Duration of follow‐up: 12 months
 Biochemical validation of non‐smokers: exhaled CO <= 10 ppm
Identification  
Notes Funding source: supported by VA Health Services Research and Development Funds
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, method not stated
Allocation concealment (selection bias) Unclear risk No details given.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Follow‐up assessors blind to allocation group, biochemical validation used.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 13 (29%) intervention, 6 (13%) control lost to follow‐up at 12 months, included as smokers.