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

Hall 1998.

Methods Setting: cessation clinic, USA
 Recruitment: community volunteers. Exclusion criteria included MDD within 3 m of baseline
Participants 199 smokers of ≥ 10 cpd; 55% F, av age 40, av cpd 21‐25; 33% had history of MDD
 Therapists: 3 doctoral‐level clinical psychologists
Interventions Pharmacotherapy: nortriptyline (titrated to therapeutic levels ‐ usually 75‐100 mg/day for 12 wks). Placebo arms of factorial trial not used in review
 1. Mood management. 10 x 2 hr sessions over 8 wks
2. Standard group therapy control. 5 x 90 min sessions over 8 wks (see Hall 1994 for description of each intervention)
Outcomes Abstinence at 64 wks (1 yr post‐treatment). Continuous abstinence rates not reported by psychological treatment group
 Validation: CO < 10 ppm and cotinine < 341 nmol/L
Source of Funding/CoI National Institute on Drug Abuse. No declarations of interest
Notes Both behavioural interventions were relatively intensive.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised by computer, after stratification on history of MDD and number of cigs smoked
Allocation concealment (selection bias) Low risk Computer randomisation after data collection
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemically validated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 16% lost to follow‐up at 1 yr, no difference by group, included in denominators for MA