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. 2019 Dec 6;2019(12):CD011207. doi: 10.1002/14651858.CD011207.pub2

Madurasinghe 2017.

Methods Design: cluster‐RT
Groups: intervention group (pharmacy workers trained in smoking cessation); control (no treatment)
Participants Pharmacies: 12 (7 intervention; 5 control)
Pharmacy worker: pharmacists and counter assistants
Pharmacy user: 621 (302 intervention; 319 control)
  • mean age: 45.2 ± 11.0 years

  • % female: intervention 73.7%; control 43.8%


Setting: urban
Country: UK
Interventions Pharmacy worker‐directed intervention: training in communication and behaviour change skills
  • Delivered by: health psychologist and community pharmacist

  • Type: behaviour change, interactive practice based

  • Mode of delivery: face‐to‐face

  • TDF: knowledge, skills, social/professional role and identity, beliefs about capabilities,

  • belief about consequences, memory, social support, environment, context and resources,

  • Duration: 2 x 2.5‐hour sessions


Pharmacy worker control: no training
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
Pharmacy user‐directed intervention: optimised smoking cessation programme
  • Delivered by: pharmacy worker

  • Type: behaviour change (smoking)

  • Mode of delivery: face‐to‐face

  • TDF: knowledge, belief about capability, belief about consequences, goals, environment, context and resources

  • Duration: 4 sessions of up to 30 minutes


Pharmacy user control: Usual care
Outcomes Pharmacy worker:
  • Uptake: 12 of the 54 pharmacies invited participated

  • Behaviour: throughput of smokers


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Pharmacy user:
  • Clinical: not assessed

  • Psychological health: not assessed

  • Behavioural: quit rate (cotinine); retention

  • Quality of life: not assessed

  • Process: not assessed

  • Costs: not assessed

Notes Study/intervention name: Smoking Treatment Optimisation in Pharmacy (STOP)
Funding source: National Institute of Health Research,UK
Steed 2017 (cited under Madurasinghe 2017) also refers to this study
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation generated using Stata 12 software.
Allocation concealment (selection bias) Low risk Independent statistician generated and administered randomisation list.
Baseline outcome measures similar Unclear risk Not reported
Baseline characteristics similar High risk Differences in age and % female
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Low attrition
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Protection against contamination Low risk Cluster randomised
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias High risk Only 12 of 54 pharmacies participated, no comparison with those who were not recruited
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Pharmacy workers were aware of intervention arm.