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. 2019 May 2;2019(5):CD002850. doi: 10.1002/14651858.CD002850.pub4

Orleans 1998.

Methods Setting: Community, USA
 Recruitment: African‐American smokers calling the NCIS telephone counselling line in response to targeted campaign
Participants 1422 African‐American smokers; 36% M, av. age not stated, 62% in 20 ‐ 39 age group, median cigs/day 20
Interventions Reactive, for callers to quitline
 1. Tailored TC and tailored 36‐page Pathways to Freedom guide. Guide used African‐American models and addressed specific obstacles. Personalised quitting plan
 2. Standard NCIS TC and standard guide Clearing the Air
Outcomes Abstinence at 6 m (7‐day PP)
 Validation: none
 (12‐m abstinence also assessed in sample of 445 smokers and there were significant differences; 15.0% vs 8.8% using ITT)
Notes Comparison between 2 types of counselling. Also included in Cochrane Self‐help review since effects of counselling and S‐H materials cannot be separated
 Median call length 19 mins (interdecile range 10 ‐ 28 min) for tailored, 13 min (8 ‐ 23) for standard
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Pseudo‐randomised by last digit of caller's contact phone number
Allocation concealment (selection bias) High risk Potential for selection bias but unlikely given low contact
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Self‐reported outcomes from participants not blinded to treatment condition, but similar levels of personal contact in different study arms
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 37% lost to follow‐up at 6 m. No differential dropout, losses included as smokers