McBride 2004.
Methods | Setting: Army Medical Centre, USA Recruitment: Pregnant women at first prenatal visit | |
Participants | 583 pregnant current smokers and recent quitters (390 in relevant arms); av. age 24 | |
Interventions | 1. Usual care: provider advice and S‐H guide 2. As 1, plus 6 proactive TC calls, 3 in pregnancy, 3 postpartum within 4 m + late pregnancy relapse prevention kit 3. Partner‐assisted intervention, not used in this review | |
Outcomes | Abstinence at 12 m postpartum (7‐day PP at all 4 follow‐ups) Validation: Saliva cotinine request, incomplete return, rates based on self‐report | |
Notes | Effect of TC as adjunct to brief advice Effect at 6 m not sustained longer term. Mean number of calls received was 5 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomised, method not described, stratified by smoking status |
Allocation concealment (selection bias) | Unclear risk | No details given |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Biochemical validation conducted but not used in outcome data. Quote: "Saliva return rates did not differ by condition at either follow‐up" but rates of return low and level of misreport not specified |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Loss to follow‐up higher in Intervention (22%) than Control (16%). Losses included as smokers |