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

Hall 1994.

Methods Country: USA
 Recruitment: community volunteers or referrals
Participants 149 smokers (> 10 cpd)
 52% F, av age 41, av cpd 25, 31% had history of MDD
 Therapists: physician, psychologist. Both received training.
Interventions Pharmacotherapy: NRT (gum, 2 mg for up to 12 wks, tapering from wk 4)
 1. Mood Management. 10 x 2 hr sessions over 8 wks. Similar to control, plus specific cognitive‐behavioural components for developing skills for coping with situations leading to poor mood. Thought stopping, rational‐emotive techniques, relaxation etc.
2. Standard group therapy. 5 x 90 min sessions over 8 wks. Information and group support for planning and implementing individual strategies
Outcomes Continuous abstinence at 52 wks (confirmed quit at all prior assessments and no smoking in previous wk)
 Validation: CO ≤ 10 ppm and urine cotinine ≤ 60 ng/mL
Source of Funding/CoI National Institute on Drug Abuse. Merrell Dow Pharmaceuticals Inc. provided drugs. No declarations of interest.
Notes Both behavioural interventions were relatively intensive. Positive effect reported for subgroup with history of major depression
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised, method not described
Allocation concealment (selection bias) Unclear risk No details given
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemically validated
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Dropouts included as smokers, but numbers not specified