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 |