Skip to main content
. 2019 Jul 31;2019(7):CD006936. doi: 10.1002/14651858.CD006936.pub4

Marshall 2016.

Methods Study design: RCT
Location: Australia
Setting: outpatient clinic
Recruitment: "Smokers in the Queensland Lung Cancer Screening Study were invited to enrol in the sub‐study by letter prior to each scheduled CT screening scan".
Participants Defining eligibility criteria?: attending lung cancer screening (age 60 to 74 years; ≥ 30 pack year smoking)
Participant characteristics: 55 older smokers; 20/55 (36.4%) female; mean age: control = 63.0, intervention = 63.0; mean cpd: control = 25.0, intervention = 25.0; nicotine dependence: mean FTND = control = 6.0, intervention = 6.0
Motivation to quit?: not selected on motivation
Interventions Control: non‐tailored printed materials, quit‐line details
Intervention: MI counselling: single face‐to‐face counselling session on the day of attendance for lung cancer screening plus audio cessation advice (on mp3 player), plus written quit materials
Provider: physician
Intensity: one‐off session lasting an average of 26.5 minutes
Was MI fidelity monitored?: no
Outcomes Definition of cessation used: 7‐day point prevalence
Length of longest follow‐up: 12 months
Validation: exhaled carbon monoxide >= 10 parts per million "However CO not always obtainable at the 12‐month time point because the CT protocol allowed scans to take place between 11 and 15 months after the previous scan (one intervention group and three control group quitters had exhaled CO < 10 ppm, the remainder were not tested)."
Was mental health and/or well‐being measured at follow‐up?: no
Was quality of life measured at follow‐up?: no
Funding source "Queensland Health, Smart State Research Grant (388600); National Health and Medical Research Council (NHMRC) National Research Centre for Asbestos‐Related Diseases (NRCARD) (440812); The Prince Charles Hospital Foundation (FRC0207‐24)."
Author conflicts of interest "None to declare"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Group allocation sequence was generated at randomisation using a random number generator.
Allocation concealment (selection bias) Unclear risk QUOTE: "Group allocation was concealed at randomization". No further detail given
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Although biochemical verification was planned, the investigators could not attempt it in all participants due to the timing of hospital appointments. Therefore, we have not been able to use verified rates. Amount and intensity of contact differed between study groups.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 3/28 (10.7%) intervention group participants and 2/27 (7.4%) control group participants did not return 12‐month questionnaires and were assumed to be smokers.