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. 2019 Jun 14;2019(6):CD001008. doi: 10.1002/14651858.CD001008.pub3

Fee 1977.

Methods Site: UK, an anti‐smoking clinic in Tayside, Scotland.
 Study period: 1970 to 1972.
 Recruitment: personal application or hospital or GP referral.
 Sample size calculation: not mentioned.
Participants Number of participants: 232 smokers (hypnosis: 57; aversion: 60; fenfluramine: 58; placebo: 57).
 Inclusion criteria: not stated.
 Exclusion criteria: not stated.
 Overall demographics: no information reported.
Interventions a) Individual hypnosis
 b) Aversion therapy (covert sensitisation)
 c) Fenfluramine
 d) Placebo
 There was a standard 9‐week course treatment for all intervention groups. Number and duration of sessions not stated; treatment method details not provided.
Outcomes Definition of smoking cessation: point‐prevalence abstinence at 12 months.
 Adverse events: no information provided on whether or not AE data were collected and whether any AEs occurred.
Notes Funding: not stated.
Author declaration of interest: not reported.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomized, method not stated
Allocation concealment (selection bias) Unclear risk No details given
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding and self‐report only
Incomplete outcome data (attrition bias) 
 All outcomes High risk Participants who did not complete treatment were excluded from the original analysis: a) 19 (33%); b) 23 (38%); c) 32 (55.2%) and d) 33 (58%). Dropout rates were high, and there were more treatment dropouts in "fenfluramine" and "placebo" groups than the other two treatment groups.
 We included all participants in our recalculations following protocol for ITT analysis. Those with missing data were assumed to be smoking.
Selective reporting (reporting bias) Low risk All outcomes reported as described in the methods section.