Phillips 2012.
Methods | Country: USA Setting: hospital RCT |
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Participants | Mothers who had previously smoked who had babies in the neonatal intensive care unit | |
Interventions |
Intervention: given information about bonding with the infant Both groups given handouts regarding second‐hand smoke exposure; neonatologist used motivational interviewing to prevent reuptake of smoking by the mother |
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Outcomes |
Eight‐week follow‐up from baseline: • Re‐uptake of smoking by mother, measured by self‐report, carbon monoxide oximetry, and salivary cotinine |
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Type of intervention | Child with health problems (ill‐child health care) | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated random table |
Allocation concealment (selection bias) | Low risk | Sequentially numbered opaque envelopes |
Incomplete outcome data (attrition bias) All outcomes | High risk | Salivary cotinine levels on only 67% of mothers who completed the study (45% from control and 55% from intervention) |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biological measure used |
Other bias | High risk | Small numbers ‐ intervention N = 24 and control N = 30. More mothers in the intervention than in the control group had private insurance (P = 0.02). Trend for infants in the intervention group to have lower birth weight (P = 0.08) and longer stay (P = 0.08). Insurance was found to be significantly associated with Kaplan‐Meier, remaining smoke free, and investigators tried to control for this. |