Singh 2014.
Study characteristics | ||
Methods |
Study design: RCT Location: not reported Setting: community Recruitment: by referrals from families, supported living and group home supervisors, and primary care physicians Study dates: not reported |
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Participants | N = 51 Specialist population?: adults with mild intellectual disability Definition of smoker used: unclear Participant characteristics: 18% female; average age: 34 years; average cpd: 12; average years smoking: 16 |
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Interventions |
Comparator: treatment as usual, including motivational therapies, behaviour therapies, NRTs, non‐nicotine medicines, or a combination of the above Mode of delivery: not reported Intensity: unclear, varied across participants Pharmacotherapy: none specifically provided, although for some usual care included NRT Type of therapist/provider: community therapists BCTs: 2.3 Self‐monitoring (behaviour), 11.1 Pharmacological support Intervention: training in the use of mindfulness and meditation techniques Mode of delivery: face‐to‐face (individual or small groups) or via Skype Intensity: 2 training sessions (1 x 1 h, 1 x 45 min), 10 supervised practice sessions (x 30 min over 5 days), weekly contact with trainer Pharmacotherapy: none Type of therapist/provider: trainer with a 35‐year history of service provision to people with intellectual and developmental disabilities and long‐standing personal meditation practice, clinical expertise, and experience in mindful service delivery to individuals at all levels of intellectual functioning BCTs: 1.9 Commitment, 2.3 Self‐monitoring of behaviour, 12.4 Distraction, 12.6 Body changes |
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Outcomes |
Definition of abstinence: 7‐day point prevalence Longest follow‐up: 12 months Biochemical verification: none Other relevant outcomes reported: none |
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Notes |
Relevant comparisons: mindfulness and meditation training vs treatment as usual Funding source: not reported Author conflicts of interest: not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Randomisation was via alternate placement in the experimental and control groups |
Allocation concealment (selection bias) | Unclear risk | Concealment not reported |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Abstinence self‐reported, differing levels of face‐to‐face contact between arms |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Only reported attrition during treatment |
Selective reporting (reporting bias) | Unclear risk | No protocol available |