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

Pallonen 1994.

Methods Setting: community cardiovascular risk factor study, Finland
 Recruitment: male smokers identified via survey
Participants 165 male smokers who were classified as pre‐contemplators or contemplators according to the SoC model; average age 52 years, average cpd 19
Interventions ∙ Self‐help: five 10 to 20‐page self‐help manuals matched to SoC; mailed after each 6‐month assessment
 ∙ Usual care and annual telephone assessment
Outcomes Sustained abstinence at 2 years (point prevalence)
 Validation: none
Notes Included in main analysis although targeted materials
Demoninators are smokers for whom complete follow‐up data were available
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised in 2:1 ratio, but prepared smokers in treatment condition then offered clinic, so groups were not balanced by SoC
Allocation concealment (selection bias) Unclear risk No details given
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Unclear if control participants knew the nature of the intervention; no biochemical validation; different intensities of intervention
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 37% lost to follow‐up by 2 years and not re‐included in MA, as group not given
Study authors report sensitivity analysis of effect of excluding people with incomplete follow‐up and state that bias was not introduced