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

Humfleet 2013.

Methods Setting: HIV clinics, USA Health Care
Recruitment: HIV clinic patients, volunteering for study
Participants 209 smokers
82% M, av age 45, av cpd 20
Therapists: clinicians specialising in smoking cessation/social work/psychology
Interventions Pharmacotherapy: NRT; patch or gum for 10 weeks, available to those who smoked ≥ 5 cpd, number not eligible, not specified
1. Self help: "How to Quit Smoking"; brief meeting with study staff who reviewed guide and recommended establishing a quit date
2. Individual counselling: 6 x 40 to 60‐min sessions of CBT targeted towards needs of HIV positive smokers, weeks 1, 2, 3, 4, 8 & 12
3. Computer‐based: each component structured into a “step” roughly corresponding to the first 5 sessions of the counselling intervention. Individuals were directed to complete self‐assessment exercises and homework assignments.
Outcomes Abstinence at 52 weeks (7‐day PP)
Validation: CO ≤ 10 ppm
Source of Funding/CoI National Institute on Drug Abuse. California Tobacco‐Related Disease Research Program. Authors declared no conflicts of interest.
Notes Individual counselling compared to self‐help in main MA, added computer‐based arm in sensitivity analysis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Smokers stratified based on N cpd, gender, history of depression and then within each stratum randomised via computer algorithm to 1 of 3 conditions in 1:1:1 fashion into a parallel‐group design
Allocation concealment (selection bias) Low risk Randomisation occurred after enrolment & stratification.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Biochemically validated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 19% overall loss to follow‐up