Davis 2014b.
Study characteristics | ||
Methods |
Study design: RCT Location: USA Setting: community Recruitment: advertisements placed on television, newspaper, and flyers (targeted in low‐SES areas) Study dates: 2011‐12 |
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Participants | N = 135 Specialist population?: people living in low‐SES areas Definition of smoker used: ≥ 5 cpd, uses no other tobacco products Participant characteristics: 47% female; average age: 45 years; 88% white; 35% high school education or less; average cpd: 18; nicotine dependence: average FTND 4.8 |
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Interventions |
Comparator: American Lung Association's Freedom from Smoking (FFS) programme, enhanced to match the Mindfulness Training for Smokers (MTS) intervention more closely (FFS‐E) Mode of delivery: face‐to‐face (group), video, audio recording Intensity: 24 h over 7 weeks Pharmacotherapy: 2 weeks of nicotine patches from quit date Type of therapist/provider: master's degree in psychology, no specialised training or certification in addiction therapy (FFS instructors are typically laypeople), provided with a 2‐day FFS‐E teacher‐training course BCTs: 1.1 Goal setting (behaviour): set a quit plan, 11.1 Pharmacological support, 12.6 Body changes Intervention: Mindfulness Training for Smokers (MTS) Mode of delivery: face‐to‐face (group), video, audio recording Intensity: 7 classes (x 2.5 h) and a quit day retreat (6.5 h) over 7 weeks (total 24 h) Pharmacotherapy: 2 weeks of nicotine patches from quit date Type of therapist/provider: master's degree in psychology (except for one who had a PhD in Sociology), no specialised training or certification in addiction therapy, provided with a 2‐day MTS teacher‐training course BCTs: 1.2 Problem solving, 3.1 Social support (unspecified), 4.1 Instruction on how to perform behaviour, 11.1 Pharmacological support, 11.2 Reducing negative emotions, 12.6 Body changes |
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Outcomes |
Definition of abstinence: 7‐day point prevalence Longest follow‐up: 6 months Biochemical verification: CO < 7 ppm Other relevant outcomes reported: stress |
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Notes |
Relevant comparisons: mindfulness training + NRT vs Freedom From Smoking programme + NRT Funding source: National Institute on Drug Abuse (K23 DA022471) Author conflicts of interest: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method not reported |
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 | High risk | Attrition was high in both groups: 57.4% (39/68) in the intervention group and 55.2% (37/67) in the control group |
Selective reporting (reporting bias) | Low risk | Prespecified outcomes reported |