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

Prochaska 1993.

Methods Setting: community, USA
 Recruitment: advertisements for volunteers to test self‐help materials
Participants 756 smokers (93 pre‐contemplation, 435 contemplation, 228 preparation; 569 in relevant arms); average age 43, average cpd 27
Interventions ∙ Standard self‐help ‐ ALA FfS, A Lifetime of Freedom from Smoking, 50 Most Often Asked Questions
 ∙ Targeted manuals ‐ 5 covering pre‐contemplation, contemplation, action, maintenance, and relapse. Participants were sent manual for their SoC and subsequent ones, except for relapse, which was sent following an assessment at which relapse occurred
 ∙ Tailored Interactive ‐ in addition to manuals, participants were sent personalised reports in response to questionnaires
 ∙ Counsellor telephone calls ‐ same as third bullet above with short calls at 0, 1, 3, and 6 months (not included in this review)
Outcomes Sustained abstinence at 18 months (12 months and 18 months)
 Validation: none; participants were asked for names of significant others but these were not contacted
Notes 2 vs 1 targeting, 3 vs 2 tailoring
 Numbers randomised and quit rates as shown on graphs obtained from study authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised; method not stated; stratified by SoC
Allocation concealment (selection bias) Unclear risk No details given
Blinding (performance bias and detection bias) 
 All outcomes Low risk "Bogus pipeline" approach; names of significant others asked for but not contacted
Similar intensities across interventions (all received manuals)
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Attrition at each assessment averaged 5.5% ‐ not significantly different across conditions
Non‐respondents included as smokers in meta‐analysis