Windsor 1988.
Methods | Study design: Randomized controlled trial Setting: University worksite, USA Recruitment: Employees volunteering for a quit‐smoking programme |
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Participants | 378 smokers av. age 37, av. cpd 23 ‐ 27 | |
Interventions | Therapist: health educator All groups received a 10‐min session of brief advice 1. + S‐H manuals 2. + S‐H and another session of counselling (20 ‐ 30 mins) with skills training, buddy selection and a contract 3. as 1, with monetary rewards for cessation 4. as 2, with monetary rewards for cessation |
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Outcomes | Abstinence at 1 yr (sustained at 6 wks, 6 m, 1 yr, no more than 2 cigs in period) Validation: saliva thiocyanate < 100μg/ml at all follow‐ups | |
Notes | There was no apparent effect of monetary incentives so this arm is collapsed. 4 and 2 vs 3 and 1. Number of quitters estimated from graphs | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated assignment |
Allocation concealment (selection bias) | Low risk | Sealed numbered envelopes opened after informed consent and baseline questionnaire |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biochemical validation of abstinence |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 37 lost to follow‐up, included in ITT analysis |