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

Sipich 1974.

Methods Design: five group parallel trial 
 Purpose: examine the effect of 'covert sensitization' on smoking behaviour
Participants Patients: smokers 
 Baseline comparability: yes (number of smoked cigarettes)
Interventions Placebo: sessions of listening to illusory subliminal messages 
 Untreated: 
 ‐no sessions with continuous monitoring of smoking rates 
 ‐no sessions with pre‐post monitoring of smoking rates 
 Experimental: 
 ‐covert sensitization sessions (visualization of feelings of nausea and vomiting as imagining themselves smoking) 
 ‐self control suggestion sessions (told to quit by their own effort) 
 (Co‐intervention: NS)
Outcomes Mean number of cigarettes smoked per day
Notes Standard deviation of untreated and placebo means estimated from t‐test of baseline‐post intervention change in the placebo group
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/covert sensitization)
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk No protocol available. Standard deviation of untreated and placebo means estimated from t‐test of baseline‐post intervention change in the placebo group
Free of other bias? Low risk  
No signs of variance inequality or skewness? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? High risk N = 20
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49