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

Etter 2004.

Methods Setting: community, Switzerland
 Recruitment: mailing to population registers (not selected)
Participants 2934 smokers aged 15+, 74% pre‐contemplators, 40% tried to quit in previous year, 51% female, average age 36, average cpd 20
Interventions ∙ Tailored 8‐page letter plus SoC‐matched booklets; at 2 months, 4 months, 12 months ‐ repeat questionnaire to initiate further letter
 ∙ No intervention
Outcomes Abstinence at 24 months (in maintenance stage; quit for > 6 months), 4 weeks; 7‐day abstinence also reported
 Validation: none
Notes Tailored self‐help vs nothing; approximately half of group 1 received 1 letter only
 Effects at 6 months (Etter Arch Int Med 2001) not sustained at 24 months
Relative difference smaller if shorter‐term abstinence used
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation: "list of random numbers"
Allocation concealment (selection bias) Unclear risk No details given
Blinding (performance bias and detection bias) 
 All outcomes High risk "...members of the control group received a letter indicating that they had been attributed to that group..."
No validation; intervention intensity higher than for control group
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Loss to follow‐up 14.0% in 1; 10.7% in 2
All non‐responders included in ITT analysis