Skip to main content
. 2019 Jan 9;2019(1):CD001118. doi: 10.1002/14651858.CD001118.pub4

Cummings 1988.

Methods Setting; stop smoking hotline, USA
 Recruitment: callers who accepted offer of a stop smoking booklet and who agreed to follow up
Participants 1895 smokers, 65% female, average age 42, average cpd 28, 89% had made at least 1 prior quit attempt
Interventions First 4 groups received booklets of similar length (± 50 pages) and format, differing in precise instructions
 ∙ High structure (day‐by‐day plan) recommending 'cold turkey' quitting
 ∙ High structure recommending gradual reduction
 ∙ Low structure (menu of exercises) with gradual reduction
 ∙ Low structure, 'cold turkey'
 Control booklet: 15 pages stressing health effects of smoking
Outcomes Abstinence from 1 month to 6 months; self‐report by telephone interview with blinded assessors
 No biochemical validation; confirmation by a significant other
Notes 1 to 4 vs 5 in main analysis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised; method not described
Allocation concealment (selection bias) Unclear risk No details given
Blinding (performance bias and detection bias) 
 All outcomes Low risk Confirmation by significant other; booklets of similar length, so differential misreport unlikely
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Analyses based on participants reached at 1 month and 6 months' follow‐up; 89% of those randomised
Dropout rates similar in all groups