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. 2018 Jan 31;2018(1):CD001746. doi: 10.1002/14651858.CD001746.pub4

Wakefield 2002.

Methods Country: Australia
 Setting: recruited from paediatric outpatient clinics, intervention by mail and phone
 CT: alternation by week of attendance at clinic
Participants 292 smoking parents of children aged 1 to 11 with asthma
Interventions At baseline, urine analysed for cotinine:creatinine ratio
 Intervention: parents sent a letter signed by the study co‐ordinator to explain child's baseline cotinine:creatinine ratio, and to encourage banning smoking at home. Two booklets enclosed: 1 explained the effects of ETS on children and gave advice to parents on its restriction; the other concerned quitting. The index parent was contacted by telephone 1 week and 1 month later for advice and encouragement.
 Control: usual advice about smoking from doctors and nurses
Outcomes At 6 months:
• Smoking bans at home
 Secondary study outcomes:
• Parent reports of bans on smoking in car
• CPD
 • Child urinary cotinine
• Parent‐reported cessation
Type of intervention Child with health problems (ill‐child health care)
Notes Retention 264/292 (90.4%)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk "Families were allocated by alternate week to either an intervention or control group."
Allocation concealment (selection bias) High risk No information was provided, but method of sequence generation makes allocation concealment highly unlikely.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Similar rates lost to follow‐up in both groups (10.5% intervention, 8.7% control)
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Children's cotinine levels used to validate self‐report of smoking bans