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. 2023 May 9;2023(5):CD013350. doi: 10.1002/14651858.CD013350.pub2

Constant 2021.

Study characteristics
Methods Study design: randomized controlled trial
Country: Brazil
Setting: telephone counseling call center
Eligibility criteria: adults who self‐reported alcohol use and the desire to stop drinking
Duration of follow‐up: 6 months
Informed consent: participants provided informed consent
Ethical approvals: study procedures were approved by the Committee of Research Ethics at the Federal University of Healthcare Sciences of Porto Alegre ‐ UFCSPA.
Participants Sample size: 1400 (687 ntervention, 713 control)
Description of the target population: adults seeking support from a call center to stop drinking
Age: 32.9 years (SD = 10.3)
Sex: 78% male
Race/Ethnicity: not reported
Marital status: not reported
Harmful alcohol use (baseline): 88% met DSM‐5 criteria for alcohol use disorder
Co‐occurring disorders: 11% of participants reported only alcohol consumption, 10.4% reported combined alcohol and cocaine use, 11% reported combined alcohol and tobacco use, 67.6% reported combined alcohol with other illegal drug use
Interventions Type: non‐pharmacologic
Description: brief motivational intervention including information and counseling on alcohol and drugs by phone
Duration and frequency: 7 telephone contacts (40 minutes each)
Delivery and provider: telephone counselors who received training and supervision
Comparison group:iInformation and counseling on drugs by phone (7 telephone contacts, 40 minutes each)
Outcomes Primary outcome(s): alcohol consumption
Primary outcome measurement tool(s): not reported
Secondary outcome(s): Motivation to change behavior; Coping
Secondary outcome measurement tool(s): Contemplation ladder; Coping Behaviors Inventory
Time points: 1, 2, and 7 days; 1, 2, 3, and 6 months
Notes Study funding and conflicts of interest: not reported
Linked study records: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "The inclusion in each group followed random sampling using a random number technique (Microsoft software application)." Pg. 2
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Blinding of providers and participants not possible given the nature of the intervention.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias)
All outcomes High risk High rates of attrition (>50%)
Selective reporting (reporting bias) Unclear risk Not reported