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

Lifrak 1997.

Methods Setting: substance abuse outpatient facility, USA
 Recruitment: community volunteers
Participants 69 smokers; 61% F, av age 39, av cpd 25
Interventions Pharmacotherapy: nicotine patch (24‐hr, 10‐wk tapered dose)
 1. Moderate intensity ‐ 4 meetings with nurse practitioner who reviewed S‐H materials and instructed in patch use
 2. High intensity. As 1 plus 16 weekly 45‐min cognitive behavioural relapse prevention therapy from clinical social worker or psychiatrist experienced in addiction treatment
Outcomes Abstinence at 12 months, 1‐week PP
 Validation: urine cotinine for some participants, but no corrections made for misreporting
Source of Funding/CoI None stated
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block randomisation (block size 10)
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 Low risk Low rate of attrition (though breakdown by group not provided): 12 administrative dropouts/exclusions not included in analyses