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) |
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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 |