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

Wu 2017.

Methods Setting: Beijing, China; 2 Endocrinology and Acupuncture out‐patient clinics of a general hospital
 Recruitment: Asked all people who attended the clinic for participation in the study
Participants 369 adult smokers who smokers 10 or more cigs/day and were not interested in quitting, 100% M, av. age 40, 43% 10 – 19 cigs/day, 57% ≥ 20 cigs/day
Interventions 1. Exercise and diet advice (EDA) control group
 2. Smoking‐reduction intervention (SRI) group
Both groups received a single face‐to‐face brief advice (˜1 min) + 5 x TC follow‐up sessions of the same duration (˜1 min) after 1 week, and after 1, 3, 6 and 12 m
Outcomes Abstinence at 12 m (7‐day PP)
 Validation: Exhaled CO level < 6 ppm
Notes New for 2018 update
Funding: "This study was supported by a research grant from the National Natural Science Foundation of China (81373080), a research grant from the Beijing Municipal Science and Technology Commission (Z121107001012070) and Clinical Research Grants from the Chinese PLA General Hospital (2013FC‐TSYS‐1021 and MJ201447)."
Declarations of interest: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "A research assistant of the project generated the random numbers for group assignment using a computer"
Allocation concealment (selection bias) Low risk Quote: "After written consent, a trained counsellor who was not involved in preparing the randomization sequence opened a serially numbered, opaque and sealed envelope with a card inside indicating intervention or control and randomly allocated the participant accordingly, thus ensuring allocation concealment"
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemically‐validated outcome. Validation rate achieved 43.2% by February 2017 (45.8% in the SRI group and 38.5% in the EDA control group)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Percentage of participants lost to follow‐up was around 30% and similar across groups. There were no differences between those who completed and those who were lost to follow‐up