Skip to main content
. 2022 Apr 14;2022(4):CD013696. doi: 10.1002/14651858.CD013696.pub2

Bock 2019.

Study characteristics
Methods Study design: RCT
Location: USA
Setting: community
Recruitment: advertisements on local radio stations and websites, flyers and brochures at physician’s offices and stores
Study dates: not reported
Participants N = 227
Specialist population?: no
Definition of smoker used: ≥ 5 cpd
Participant characteristics: 56% female; average age: 46 years; 86% white; 28% high school education or less; average cpd: 17; nicotine dependence: average FTND 4.9
Interventions All participants were provided with an 8‐week group CBT programme for smoking cessation, including planning for a targeted quit day (week 4), handling smoking triggers, coping with cravings, and managing withdrawal.
Comparator
Group CBT + wellness classes
Mode of delivery: face‐to‐face (group)
Intensity: 8 CBT sessions (x 1 h) and 16 wellness classes (x 1 h) over 8 weeks
Pharmacotherapy: none provided, but participants were permitted to use NRT or other smoking cessation medications in conjunction with the programme
Type of therapist/provider
  • smoking cessation counselling: PhD‐level psychologists

  • wellness: wellness counsellor or other healthcare professional (e.g. sleep expert)


BCTs: 1.1 Goal setting (behaviour), 1.2 Problem solving, 3.1 Social support, 12.6 Body changes
Intervention
Group CBT + Iyengar yoga
Mode of delivery: face‐to‐face (group)
Intensity: 8 CBT sessions (x 1 h) and 16 yoga classes (x 1 h) over 8 weeks
Pharmacotherapy: none provided, but participants were permitted to use NRT or other smoking cessation medications in conjunction with the programme
Type of therapist/provider
  • smoking cessation counselling: PhD‐level psychologists

  • yoga: certified Iyengar instructors with > 15 years' experience


BCTs: 1.1 Goal setting (behaviour), 1.2 Problem solving; 3.1 Social support (unspecified)
Outcomes Definition of abstinence: continuous (based on 7‐day point prevalence at end of treatment and follow‐up)
Longest follow‐up: 6 months
Biochemical verification: CO < 10 ppm or salivary cotinine < 15 mg/mL
Other relevant outcomes reported: none
Notes Relevant comparisons: Iyengar yoga + CBT vs wellness classes + CBT
Funding source: National Institutes of Health, National Center for Complementary and Integrative Health (R01 AT006948)
Author conflicts of interest: “The authors have no competing financial interests to declare.”
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote [protocol]: “The randomization scheme generated by the study statistician uses a permuted block randomization procedure, with small, random sized blocks. Randomization is stratified based on gender and level of nicotine dependence.”
Allocation concealment (selection bias) Unclear risk Concealment not reported
Blinding of outcome assessment (detection bias)
All outcomes Low risk Abstinence biochemically verified
Incomplete outcome data (attrition bias)
All outcomes Low risk At 6‐month follow‐up 6.2% (7/113) were lost to follow‐up in the intervention group and 4.4% (5/114) in the control group
Selective reporting (reporting bias) Low risk Prespecified outcomes reported