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. 2017 Mar 31;2017(3):CD001292. doi: 10.1002/14651858.CD001292.pub3

Williams 2010.

Methods Study design: Randomized controlled trial
Setting: Mental health outpatient clinics, USA
Recruitment: People with schizophrenia or schizoaffective disorder, willing to use NRT
Participants 100 smokers (> 10 cpd) using an atypical antipsychotic; 16% women, av. age ˜46, av. cpd 23
Interventions Therapists: trained mental health clinicians provided both conditions
Pharmacotherapy: nicotine patch (21 mg for 16 wks incl tapering)
1. Treatment of Addiction to Nicotine in Schizophrenia (TANS); 24 x 45‐min individual counselling sessions over 26 wks
2. Medical Management (MM); 9 x 20 mins over 26 wks
Outcomes Continuous abstinence at 12 m
Validation: CO < 10 ppm
Notes New for 2016 update
Contributes to comparison 2.1.2, more versus less intensive counselling as adjunct to pharmacotherapy
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "adaptive urn randomization procedure that accounts for motivation, gender, ethnicity, and heavy versus light smoking status"
Allocation concealment (selection bias) Low risk Judged that process for randomization prevented prior knowledge of condition
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemical validation of abstinence
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 75% followed up at 12 m, authors report "not different between groups"