Wu 2009.
Methods | Study design: RCT Location: USA Setting: Asian community health coalition’s member organisations. Community setting in New York City Recruitment: participants were recruited through the Asian Community Health Coalition’s Chinese member organisations by bilingual staff from Temple University’s Center for Asian Health in cooperation with trained community volunteers. |
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Participants | Defining eligibility criteria?: self‐identification as ethnic Chinese Participant characteristics: 139 adult ethnic Chinese smokers, randomised to intervention (67) and control (72); 12.3% female; mean age 44.4; cpd not stated Motivation to quit?: not selected on motivation |
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Interventions | Control: four 60‐min 'health education' sessions and general self‐help health information, covering nutrition, exercise, and harmful effects of tobacco. Quitting strategies were provided. Intervention: four in‐person 60‐min sessions of MI counselling for smoking cessation and self‐help smoking cessation materials. The effects of tobacco use, secondhand smoke, and participants’ experiences with smoking were discussed. Participants were counselled about the addictive nature of nicotine, encouraged to examine the pros and cons of smoking, and contemplate quitting behaviour. All participants were provided with nicotine patches. Provider: counsellors Intensity: four in‐person 60‐minute sessions. Frequency unclear Was MI fidelity monitored?: no |
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Outcomes | Definition of cessation used: 7‐day point prevalence Length of longest follow‐up: 6 months Validation: expired CO was measured; however results by arm not reported and so non‐validated data used. Was mental health and/or well‐being measured at follow‐up?: no Was quality of life measured at follow‐up?: no |
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Funding source | A grant from the National Cancer Institute Community Network Program (U01CA114582‐02S2) | |
Author conflicts of interest | "None declared" | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | QUOTE: "Eligible participants/smokers aged 18 years and older were randomly assigned to MI or to the general health – counseling program". No further information provided |
Allocation concealment (selection bias) | Unclear risk | QUOTE: "Eligible participants/smokers aged 18 years and older were randomly assigned to MI or to the general health – counseling program". No further information provided |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | QUOTE: "All participants were measured by breath CO as cross validation of their smoking status at two timepoints: baseline and 6‐month follow‐up". |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 7/67 (11%) in the MI intervention group, and 10/72 (14%) of the general health control group were lost to follow‐up at 6 months. |
5As: 'Ask, Advise, Assess, Assist, and Arrange'
5Rs: 'Relevance, Risks, Rewards, Roadblocks, Repetition' AHRQ: Agency for Health care Research and Quality ALA: American Lung Association AMI: adapted motivational interviewing BA: brief advice CA: continuous abstinence CBT: Cognitive Behavioural Therapy CO: carbon monoxide cpd: cigarettes per day CT: computerised tomography FTND: Fagerstrom Test for Nicotine Dependence HE: health education HII: high intensity intervention HIV: Human Immunodeficiency Virus ICC: intraclass correlation ITT: intention to treat LCD: liquid‐crystal display LHCW: lay health care workers LII: low intensity intervention M: male m: month MA: meta‐analysis ME: motivational enhancement MEC: motivationally enhanced counselling MET: motivational enhancement therapy MFTQ: modified Fagerstrom Tolerance Questionnaire MI: motivational interviewing MISC: Motivational Interviewing Skill Code mp3: Moving Picture Experts Group Layer‐3 Audio (audio file format/extension) N: number of participants NG:nicotine gum NRT: Nicotine replacement therapy PA: prolonged abstinence PG: placebo gum PPA: point prevalence abstinence ppm: parts per million PTSD: post‐traumatic stress disorder RCT: randomised controlled trial REL: progressive muscle relaxation RP: relapse prevention SBA: structured brief advice SC: smoking cessation S‐H: self help SUD: substance use disorder TB: tuberculosis TQD: target quit date UC: usual care USD: United States dollars VHA: Veterans Health Administration