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

Elliott 1978.

Methods Design: four group parallel trial 
 Purpose: examine the effect of a multiple‐component treatment approach on smoking reduction
Participants Patients: smokers 
 Baseline comparability: yes
Interventions Placebo: non‐directive discussions 
 Untreated: no discussions 
 Experimental: 
 ‐rapid smoking (smoked every 6 seconds until unable to continue) 
 ‐package treatment (rapid smoking, applied relaxation, covert sensitization, systematic desensitization, self‐reward and punishment etc) 
 (Co‐intervention: NS)
Outcomes Number of abstinent smokers 
 Mean number of cigarettes smoked / day
Notes The trial consisted of a primary intervention phase and a secondary booster phase. Only the allocation to the booster treatment was explicitly described as random. Contact with authors clarified that allocation in the primary phase was also random.
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/package treatment)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
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? High risk N = 24
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49