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 |