Romand 2005.
Methods | Study design: Randomized controlled trial Country: France, 6 towns Recruitment: Community volunteers, motivated to quit |
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Participants | 228 smokers 54% women, av. age 42, av. cpd 20 Therapists: 2 professionals per group, e.g. trained psychologist and qualified health adviser | |
Interventions | 1. Five Day Plan (FDP); 5 sessions on consecutive nights, & supplementary sessions 1 ‐ 2 wks later 2. Control; 1 hr of general information on tobacco‐related health problems | |
Outcomes | Abstinence at 12 m, lapse‐free (PPA also reported) Validation: CO < 10 ppm | |
Notes | In comparison 1.3.2 Using the less stringent definition of abstinence would reduce the effect, 16% vs 11% quit. A small number of control group participants attended other FDP courses or used pharmacotherapy | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomized, stratified by town, "balanced every four individuals" |
Allocation concealment (selection bias) | Unclear risk | No details given. The discrepancy in group sizes suggests the possibility of selection bias, but may be due to the stratification & chance |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biochemical validation of abstinence |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 17% & 15% lost at 12 m, included as smokers in ITT analysis |