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. 2021 Sep 6;2021(9):CD011556. doi: 10.1002/14651858.CD011556.pub2

Richmond 1993.

Study characteristics
Methods Design: Randomized controlled trial with 3 active trial arms
Setting: GPs in Sydney, Australia
Recruitment: GPs invited their patients to participate.
Participants 450 adults who smoked (16 ‐ 65 years) free from any condition which was contraindicated for the use of nicotine gum. 60% F, av.age 35, 22 cpd
Interventions Intervention 1: Participant saw GP at baseline, 1w, 3w, 3m, 6m and received comprehensive counseling from GP on how to quit smoking
Intervention 2: Participant saw GP at baseline, 1w, 3w, 3m, 6m and received comprehensive counseling from GP on how to quit smoking Participants were given a supply of nicotine gum, an explanation of its use, and an instruction booklet
Intervention 3: Participants attended a baseline visit and follow‐up visits at 3m and 6m. At at baseline participants were advised to quit by GP and given a supply of nicotine gum, an explanation of its use, and an instruction booklet
Outcomes PPA at 12m
Continuous abstinence at 12m
Validation: None
Funding Source Funded by the Department of Health, Housing and Community Services, Community Health Anti‐Tuberculosis Association, Glaxo Australia, and the Drug and Alcohol Directorate, NSW Department of Health
Author's declarations of interest Not reported
Notes Strategy: Cost‐free medications, adjunctive counseling
Level: Patient
Type: Active vs. active (isolates cost‐free medications)
Risk of bias
Bias Authors' judgement Support for judgement
Sequence Generation High risk All participants were allocated according to random weekly assignment to 1 of 3 intervention groups
Allocation concealment High risk Weekly allocation. Could have been foreseen
Blinding of outcome assessors
All outcomes High risk Smoking status was self‐reported, and different contact between groups
Incomplete outcome data
All outcomes Unclear risk QUOTE: "a number of patients who were out of contact were eliminated from the predictor analyses...and 12 month follow‐ups (n = 59, 13%)"; "After the initial consultation, 15‐25% of the patients on each occasion did not attend the session and could not be contacted". No further details reported