Velicer 2006.
Methods | Setting: community, USA Recruitment: proactive approach to smokers at Veterans Administration Medical Center | |
Participants | 2054 smokers (1031 in relevant arms); 23% female, average age 51 years, 40% pre‐contemplators, 40% contemplators, 20% preparers | |
Interventions | ∙ Stage‐based self‐help manuals; participants sent manual for current stage and for next stage on ∙ As first bullet above plus 6 weeks nicotine patch if in appropriate stage; reassessed for NRT eligibility at 6 months and 10 months ∙ As second bullet plus 1 expert system feedback report (see Prochaska trials) ∙ As third bullet plus regular automated telephone counselling | |
Outcomes | Abstinence at 30 months; sustained for 6 months Validation: none | |
Notes | 3 vs 2 for tailored adjunct to targeted self‐help In NRT groups, 350 (67%) received NRT at baseline and 448 (86%) received NRT at some point |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐based random number generator |
Allocation concealment (selection bias) | Low risk | Allocation done after completion of survey Randomised participants who did not return consent form were excluded from further analyses |
Blinding (performance bias and detection bias) All outcomes | Low risk | Self‐reported outcomes from participants not blinded to treatment condition, but intensity did not differ substantially by condition, so differential misreport judged to be unlikely |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 39% lost including 8% refused by 30 months; no significant differences between groups Different treatments of missing data reported not to have altered pattern of results |