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

Zhang 1993.

Methods Country: China
 Setting: school
 CT; schools in 1 district received intervention, compared with schools in a second district
Participants 20,382 children in 44 primary schools
 68.8% of intervention and 65.5% of control fathers smoked at baseline.
Interventions Intervention: A tobacco prevention curriculum comprising social and health consequences of tobacco use and training in refusal skills was introduced. Smoking control policies for schools were encouraged. Children in intervention schools wrote letters to their fathers to ask them to quit smoking and monitored their smoking behaviour.
 Control: usual curriculum
Outcomes At 8 months:
• Self‐report of smoking cessation by smoking fathers during interview with health educator
Type of intervention Community‐based
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk No randomisation reported
Allocation concealment (selection bias) High risk See above.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No information on missing data reported
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Self‐report only; differential misreport possible

5 As: Ask, Advise, Assess, Assist, Arrange.
 BAM: Behavioural Action Model.
 CBFRS: Community‐Based Family Resource and Support.
 CHG: Child's Health Group.
 CO: carbon monoxide.
 CPD: cigarettes per day.
 CT: controlled trial.
 EPA: Environmental Protection Agency.
 ETS: environmental tobacco smoke.
 FeNO: fractional exhaled nitric oxide.
 GP; general practitioner.
 IgE: immunoglobulin E.
 ITT: intention‐to‐treat.
 MHG: Mother's Health Group.
 MI: motivational interviewing.
 min: minute(s).
 NICU: neonatal intensive care unit.
 NIH: National Institutes of Health.
 NRT: nicotine replacement therapy.
 PAM: Precaution Adoption Model.
 RCT: randomised controlled trial.
 Rint: interrupter resistance measurement.
 SHI: smoking hygiene intervention.
 SHS: second‐hand smoke.
 SPSS: Statistical Package for the Social Sciences.