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. 2019 Jun 5;2019(6):CD009670. doi: 10.1002/14651858.CD009670.pub4

Busch 2017.

Methods Setting: Miriam and Rhode Island Hospitals in Providence, USA
Recruitment: inpatient cardiac units at the Miriam and Rhode Island Hospitals in Providence
Participants 64 smokers; 27.1% female; average age 55.6; average cigarettes smoked per day 16.4
Therapists: research team members (licenced clinical psychologist and clinical psychology post‐doctoral fellow)
Interventions Pharmacotherapy: NRT; 8 weeks of nicotine patches starting on 21 mg patch for those smoking > 10 cigarettes per day and on 14 mg for those starting ≤ 10 cigarettes per day
1. Usual care: one in‐hospital counselling session (50 minutes) + 5 mailings of print materials + 5 brief “check‐in” calls from a health educator following each mailing (5 to 10 minutes each)
2. One in‐hospital counselling session + > 5 post‐discharge contacts at 1, 3, 6, 9 and 12 weeks. Sessions 1 & 2 (50 minutes each) in‐person at a research clinic or in the participant’s home; Sessions 3 to 6 (30 minutes each) by phone
Outcomes 7‐day point prevalence abstinence at weeks 12 and 24 post‐discharge from the hospital
Validation: carbon monoxide < 10 ppm
Source of Funding/CoI National Heart, Lung, and Blood Institute of the National Institutes of Health. No declarations of interest
Notes New for 2019 update
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomisation
Allocation concealment (selection bias) Low risk The study statistician provided sequenced randomisation envelopes. The randomisation envelopes were opened by counsellors following the completion of each in‐hospital smoking cessation session. Counsellors then immediately informed the participant of their treatment condition.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemically validated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 21.2 to 22.6% lost to follow‐up at 24 weeks post‐discharge