Pickworth 1997.
Methods | Randomized trial of electrostimulation Country: USA Recruitment: 'from community' |
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Participants | 121 adults aged over 21 yrs, smoking >20/day for at least 1 yrs, no psychoactive medications; without pregnancy, drug history, medical condition, implanted device, history of seizures or migraine | |
Interventions | 5 consecutive days of 60 min of a) electrostimulation, 10Hz 2 msec pulse, 30 µamp to mastoid, or b) sham electrostimulation | |
Outcomes | Abstinence after 5 days and 1 month, verified by exhaled CO. Withdrawal symptoms. | |
Notes | Stimulation parameters were criticised by Boutros 1998 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "the instrument manufacturer 'prepared sealed envelopes containing a cartridge and an insert that was randomly assigned to each subject' but method of sequence generation not described |
Allocation concealment (selection bias) | Low risk | Sealed envelopes prepared with cartridge and insert |
Blinding (performance bias and detection bias) All outcomes | Low risk | Described as double‐blind, and interventions were appropriate |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Dropout rates 16% and 17% |
Other bias | Low risk | No baseline differences |