DePaul 1989.
Methods | Study design: Cluster‐randomized controlled trial Country: USA Recruitment: Employees at 38 worksites, recruited prior to a 3‐wk television smoking cessation programme |
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Participants | 419 smokers who participated in the worksite programmes; 63% women in groups, 54% women in S‐H, av. age 38, av. cpd 21 | |
Interventions | 1. 6 x twice‐weekly group meetings to coincide with the 3‐wk television series, then monthly meetings for 1 yr. Abstinent smokers and 5 of their family and 5 co‐workers entered for a lottery at the final group meeting and 12 m follow‐up 2. S‐H manuals only | |
Outcomes | Abstinence from end of programme to 12 m Validation; saliva cotinine and co‐worker or relative confirmation | |
Notes | Data based on participants in the programmes. Attrition was defined as not attending any group meetings, not reading the manual, not being located for post‐testing, refusing to be interviewed or changing jobs. The attrition rate was 17% for group worksites and 29% for non‐group worksite participants, so correcting the data for attrition would increase the apparent efficacy of the group condition | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Cluster‐randomization by worksite, matched for size |
Allocation concealment (selection bias) | Unclear risk | No details given |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biochemical validation of abstinence |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition rates reported, only those followed up used in MA, see Notes |