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. 2017 Nov 17;2017(11):CD003289. doi: 10.1002/14651858.CD003289.pub6

NoT MD 2009.

Methods Country: Maryland, USA
 Setting: 4 high schools (I = 2 and C = 2)
 Study design: RCT, with individuals randomized within schools, schools allocated in balanced blocks
Participants Participants: 194 students (I = 92; C = 102)
 Age range: 14‐18 years, mean 15.9
 Criteria for inclusion: self‐report of smoking AND expressed willingness to quit
 Follow‐up method: self‐report & salivary cotinine verification
Inducements to enter study: sessions conducted over lunch, which was provided plus "modest incentives"
Verification of smoking status: none
Pre‐study smoking status assessment: self‐reports, age first smoked and "nicotine dependence"
 Significant demographic differences between arms of the trial: slight imbalance in ethnicity, age, nicotine dependence and quit attempts
Post‐study smoking status assessment: self‐report and salivary cotinine
Interventions Intervention: modified NoT intervention: 20 lunch time sessions of 25/30 min (compared to 5 x 50 min sessions of other NoT trials)
 Theoretical basis of intervention: SCT
 Control: brief Intervention of 1 session with pamphlets
Outcomes Measurement: 30‐day PPA
 Follow‐up periods: 6 months and 12 months
 Verification: self‐reporting verified by salivary cotinine
 Losses to follow‐up: at 6 months and at 12 months
Notes Clarification of data and details of incentives sought from study authors but not received
Same study also evaluated an alternative intervention, see Joffe 2009
Modified NoT: entered as NoT since basis of intervention same but timescale of delivery modified
Used most conservative data presented in paper (Table 4)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk see Joffe 2009
Allocation concealment (selection bias) Unclear risk see Joffe 2009
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk see Joffe 2009
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk see Joffe 2009
Incomplete outcome data (attrition bias) 
 All outcomes Low risk see Joffe 2009