Strecher 2005.
Methods | Setting: community, USA Recruitment: telephone callers to NCI Cancer Information Service, interested in quitting | |
Participants | 1978 smokers; 70% female, average age 41 years, 46% smoked > pack/d, FTND 5.9 | |
Interventions | All participants received approx 15 minutes of telecounselling Control ‐ single untailored 24‐page booklet (Clearing the Air) Intervention 1 ‐ single 8‐page tailored booklet, addressing motives and barriers cited by smoker Intervention 2 ‐ single untailored 24‐page booklet (Clearing the Air); multiple tailored materials (booklet, 2 newsletters, letter) at 5 months, 8 months, 12 months; tailored on baseline data Intervention 3 ‐ single untailored 24‐page booklet (Clearing the Air); multiple re‐tailored materials (same components and schedule as Intervention 2; used data from 5‐month follow up for re‐tailoring) | |
Outcomes | Abstinence at 12 months (7‐day point prevalence, but had also reported abstinence at 5 months' follow‐up) Validation: none | |
Notes | To derive numbers quit, assumed equal numbers in each condition 2 plus 3 plus 4 vs 1 in tailored vs untailored Slightly more evidence of effect when multiple compared to single (3 plus 4 vs 1 plus 2), and also for re‐tailored materials amongst subgroup who were quit at 5 months |
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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 | Although no biochemical validation, all participants received same telecounselling and were unaware of other treatment conditions, so risk judged to be low |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Only respondents at 5 months eligible for 12 months' follow‐up 56% loss at 12 months (but includes those smoking at 5 months); no difference by condition Losses included as smokers |