Alessi 2014.
Methods | Country: USA Setting: residential substance use disorder clinics, southern Connecticut Design: randomized controlled trial |
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Participants | 45 participants (24 Intervention, 21 Control). All were men aged 18+, smoking 10+ cpd with interest in quitting smoking, who were entering long‐term (> 6 months) residential substance use disorder treatment. Average age 37; 84% “non‐Hispanic”; average 11.4 years education; average 18.6 cpd at baseline with groups similar at baseline. |
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Interventions | All participants received 2 quit‐smoking preparation sessions, the first consisting of CO measurement, 30‐minutes counselling and a self‐help quit guide, with a review of progress and a quit date set in the second session 4 days later. All participants received US$15 at intake, US$25 per follow‐up and a US$1 gift certificate/snacks/gum for each CO and cotinine sample, irrespective of smoking status. 1. Control: additionally received a brief monitoring intervention consisting of 5‐minute individualized support/feedback Monday‐Friday for 4 weeks. CO measured and cpd tracked at each session. Cotinine measured weekly. 2. Intervention: received the control intervention plus entry into multiple prize draws, contingent on abstinence, as follows: Week 1: a “guaranteed prize” bowl with 70 cards, of which 64 had a US$1 prize (e.g. toiletries, sports drink, gum), 5 for a US$20 prize (e.g. exercise weights, portable games, Barnes and Noble gift cards), and 1 for a US$100 prize (linens, TV, and DVD player), with 1 to 5 draws available depending on number of consecutive CO tests abstinent. Weeks 2 to 4: a “standard prize” bowl with 500 cards, 50% of which had a prize (219 US$1 prizes, 30 US$20 prizes and 1 US$100 prize). A cotinine‐negative test gave 5 bonus draws. Overall, 190 draws were available for negative CO tests (mean earnings US$426.56) and 15 for negative cotinine tests (mean earnings US$46.43). |
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Outcomes | 7‐day PPA at 4, 8, 12, 24 weeks, biochemically verified twice‐daily by CO (< 6 ppm) and weekly by urinary cotinine (< 30 ng/mL) % reduction in cpd, self‐efficacy, non‐nicotine substance use |
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Notes | Also in ISC. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: “Randomization to one of two conditions occurred using an urn procedure.” |
Allocation concealment (selection bias) | Unclear risk | Not stated. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Biochemical verification used. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Very few losses; 2 participants left the treatment centre before completion. |