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

Young 2008.

Study characteristics
Methods Design: Randomized controlled trial
Setting: General practices in South Western Sydney, Australia
Recruitment: Eligible GPs were approached by research staff and invited to participate. All eligible patients were approached in the waiting room and were given an information letter and self‐administered questionnaire to complete before seeing their GP
Participants 318 adults who smoked (169 intervention, 149 control) av.age 38, 46% M
Interventions Intervention: participants received a phone call from a nurse who delivered intervention based on the 5As. Participants were mailed a quit kit, encouraged to use NRT and set a quit date. Those that set a quit date were called on the specified quit day, then 1 week and 3 weeks after the quit date. During these 3 calls, participants were congratulated if they had quit, were encouraged to maintain quitting and assisted in resolving any problems arising. People who relapsed to smoking received motivation advice and were encouraged to 'reframe' relapse as a learning experience for future cessation
Control: QUOTE: "control group smokers received the GP's usual care. We also provided GPs with free copies of government‐sponsored quit kits to distribute to smokers in this group". No further details reported
Outcomes Undefined PPA at 12m
Validation: None
Quit attempts
Measures of provider implementation: Advise, Arrange, Assist‐Quit date, Assist‐Self‐help, Assist‐Medication
Funding Source Project Grant G00S0686 from the National Heart Foundation of Australia. At the time of the study, JY was supported by a National Health and Medical Research Foundation Public Health (Australia) Fellowship (No 007024)
Author's declarations of interest Authors declared that they had no competing interest
Notes Strategy: Adjunctive counseling
Level: Patient
Comparison type: Single component vs. standard care
Risk of bias
Bias Authors' judgement Support for judgement
Sequence Generation Low risk QUOTE: "Questionnaires were randomly ordered and coded prior to delivery to the practice by selecting sequential numbers from a computer generated random number list"
Allocation concealment High risk QUOTE: "Pre‐randomised questionnaires and allocated unobtrusive marks that were meaningful only to the GPs in order to convey group allocation". Does not specify that this was concealed
Blinding of outcome assessors
All outcomes High risk Smoking status was self‐reported and person‐to‐person contact differed between the groups
Incomplete outcome data
All outcomes Unclear risk The response rate was 69% in the intervention group and 59% in the control group at 12 months ‐ not reported by group