Rohsenow 2014.
Methods | Setting: residential substance abuse treatment programme, USA Recruitment: research therapist assessed patients for eligibility |
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Participants | 165 alcoholic smokers (≥ 10 cpd for 6 m), 60% M, av age 34, av cpd 21 Therapists: research therapists |
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Interventions | Pharmacotherapy: NRT; patch preferred, mostly used for 2‐3 months 1. Brief advice ˜15 mins, assessed smoking rate and interest in quitting, ± 2 x 5 to 15‐min boosters at 7 & 30 days 2. Motivational interviewing, 45 min, ± 2 x 5 to 15‐min boosters at 7 & 30 days |
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Outcomes | Abstinence at 12 months (7‐day PP) Validation: CO < 10 ppm |
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Source of Funding/CoI | National Institute of Alcohol Abuse and Alcoholism, United States Department of Veterans Affairs. No declarations of interest | |
Notes | Booster and no‐booster conditions combined in analyses. Only 51% used NRT during the first month, 34% during the subsequent 2 months | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Random numbers table |
Allocation concealment (selection bias) | Low risk | Assignment in sealed envelope opened just before the first treatment session |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biochemically validated |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Overall 32% lost to follow‐up; MI 35%, (28/80 including 1 death), BA 29% (25/85 including 3 deaths) |