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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Killen 1990.

Methods Design: 4 x 3 group parallel trial (see notes) 
 Purpose: examine the effect of behavioural intervention (3 types) and pharmacological intervention (4 types) in smoking relapse prevention
Participants Patients: tobacco smokers abstinent for more than 48 hours and volunteering for a self‐help program 
 Baseline comparability: yes
Interventions Placebo: gum with no nicotine 
 Untreated: no gum 
 Experimental: 
 ‐nicotine gum ad libitum 
 ‐nicotine gum with fixed regimen 
 (Co‐intervention: NS)
Outcomes Number of abstinent smokers
Notes As the behavioural treatments showed no significant difference the 3 x 4 factorial design was collapsed into a four group parallel trial.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Assignment to gum condition was double‐blind...'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (binary outcome)
Trial size > 49? Low risk N = 618
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed