Ahmadi 2003b.
Methods | Three‐group, randomised open‐label trial with participants randomised to treatment groups in consecutive numerical order by an investigational team. Participants were divided into treatment groups by dose and duration of buprenorphine misuse. Concealment of randomisation not stated. | |
Participants | Geographic region: Iran.
N = 204.
Mean age; 31 years (BMT), 31 years (MMT).
100% male. Inclusion criteria: Male gender, DSM‐IV diagnosis of opioid dependence, "daily use of injection buprenorphine for at least 6 months". Exclusion criteria: another medical condition, a diagnosis of alcohol dependence, prescribed anticonvulsants, neuroleptics or methadone during the previous month, or a score of 7 or higher on the Addiction Severity Index. |
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Interventions | 24 weeks of maintenance, with fixed dosing. Buprenorphine (sublingual tablet) 5 mg daily, methadone 50 mg daily, or naltrexone 50 mg daily. | |
Outcomes | Retention in treatment. | |
Funding source | None reported. | |
Declarations of interest | None reported. | |
Notes | Offered weekly half‐hourly individual counselling sessions. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | "Randomised to treatment groups in consecutive numerical order". |
Allocation concealment (selection bias) | High risk | "Randomised to treatment groups in consecutive numerical order". |
Blinding (performance bias and detection bias) All outcomes | Low risk | Open‐label. Objective outcome measurement not influenced by lack of blinding. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat. |