McClure 2011.
Methods | Setting: Pacific Northwest, USA Recruitment: Members of large regional health plan identified through automated records |
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Participants | 52 adults with evidence of smoking in last year, depression in last 2 years, and without high levels of physical activity. 33% M; av. age 44.5; av. cigs/day 10.6; av. FTND 2.37 | |
Interventions | 1. Intervention: usual care + phone‐based Step Up proactive counselling programme (1 motivational call, 9 weekly CBT calls and 2 follow‐up ‘booster calls’ according to participant need) 2. Control: usual care treatment for depression, smoking and physical activity (incl. S‐H material and referral information for phone‐based smoking cessation programme) |
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Outcomes | Self‐reported abstinence at 6 m (7‐day PP) Validation: none |
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Notes | Pilot study of an intervention also addressing physical activity and depression Number abstinent not provided and hence extrapolated from percentages given |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "randomly assigned," stratified by baseline antidepressant use". Method of sequence generation not specified |
Allocation concealment (selection bias) | Unclear risk | Method not specified |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Self‐reported outcome, participants not blinded to treatment condition. Level of personal contact differed between arms |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Participants lost to follow‐up counted as smokers, similar numbers lost in each group (4/27 intervention, 2/25 control) |