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. 2019 Jan 9;2019(1):CD001118. doi: 10.1002/14651858.CD001118.pub4

Aveyard 2003.

Methods Setting: 65 general practices, UK
 Recruitment: volunteers from random selection of smoking patients; not selected for motivation
Participants 2471 smokers, 1373 in relevant arms, > 80% in pre‐contemplation or contemplation, 10% to 14% in preparation
 54% female, average age 41, average cpd 20
Interventions No face‐to‐face contact
 ∙ Standard self‐help materials, single mailing
 ∙ Self‐help manual based on transtheoretical (SoC) model; expert system letter tailored on baseline questionnaire. Further questionnaires at 3 months and 6 months for additional letters (approximately 50% received 3 letters)
Outcomes Abstinence at 12 months, sustained for 6 months
 Validation: saliva cotinine < 14.2 ng/mL
Notes 2 vs 1; tailored self‐help vs standard self‐help
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation using minimisation to balance SoC, addiction, and socioeconomic status
Allocation concealment (selection bias) Low risk Baseline questionnaires read optically and data transferred automatically to the Access database, which performed the minimisation
Blinding (performance bias and detection bias) 
 All outcomes Low risk Interventions of similar intensity
12 months: abstinence "was confirmed with salivary cotinine, so that we had unconfirmed and confirmed prevalence of quitting"
Confirmed figures used in analysis
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 24% of self‐help and 24% of control lost to follow‐up
Included in ITT analysis here; sensitivity analyses allowing for differential dropout did not change findings