Zhu 2012.
Methods | Setting: Quitline, USA Recruitment: Callers to a quitline |
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Participants | 2278 Chinese‐, Korean‐ and Vietnamese‐speaking daily smokers, ready to quit within 1 m; 90% M; aged 18 ‐ 75 (approx. 45% 25 ‐ 44 and 45% 45 ‐ 64); av. cigs/day 15.6 | |
Interventions | 1. S‐H pack, culturally‐tailored, translated into Chinese, Korean and Vietnamese 2. S‐H pack + proactive TC; Social Learning Theory; MI; CBT techniques. 30 ‐ 40 mins, pre‐quit, up to 5 relapse prevention calls (10 ‐ 15 min) 0, 3, 7, 14, 30 days |
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Outcomes | Prolonged abstinence at 7 m post‐intervention, 1 m grace period immediately post‐quit Validation: none (but saliva samples collected) |
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Notes | Number abstinent at 6 m not specified; data used in MA calculated back from percentages | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "randomly assigned…using blocks of 20 to keep a balance of language and sex…Random assignment tables for each strata were created using SAS 9.2." |
Allocation concealment (selection bias) | Low risk | Quote: "The allocation was done by the computer so that staff were blinded to group assignment until the intake call" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Self‐reported outcomes but saliva samples collected. No statistically significant differences in saliva sample return rates at 7 m between intervention and control groups and between self‐reported quitters and non‐quitters |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Simlar rate of dropouts in both groups (18% in 1, 16% in 2). Participants lost to follow‐up included as smokers in outcome data |