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. 2015 Jun 15;2015(6):CD009905. doi: 10.1002/14651858.CD009905.pub2

Kim 2008.

Methods Study design: controlled before‐after
Sampling frame: 4 rural African American Churches
Sampling method: non‐random (2 churches assigned to treatment)
Collection method: physical measurement
Description of the community coalition: Coalition included 4 churches, non‐profit community‐based organizations, and University of North Carolina investigators
Participants Communities: rural North Carolina
Country: USA
Ages included in assessment: mean age 56 (SD 15.8)
Reasons provided for selection of intervention community: rural African American at‐risk population
Intervention community (population size): unknown
Comparison community (population size): unknown
Interventions Name of intervention: Wholeness, Oneness, Righteousness, Deliverance (WORD)
Theory: Stages of Change, Social Cognitive Theory, Social Support
Aim: weight loss
Description of costs and resources: not reported
Components of the intervention: trained lay health leader in four 2.5‐hour training sessions to lead weekly small group sessions over 8 weeks as treatment (n = 61)
Start date: unknown
Duration: 2 months
Outcomes Outcomes and measures: mean weight loss (standard error) controlling for baseline BMI, education, and age
Time points: baseline and 2‐month follow‐up
Notes Funding source: coalition partners
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Not randomly assigned
Allocation concealment (selection bias) High risk Not randomly assigned
Baseline outcome measurement similar Low risk Physical measurement
Baseline characteristics similar High risk Reported differences at baseline
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 20% attrition
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not randomly assigned
Protection against contamination Unclear risk Possibility of contamination not described
Selective reporting (reporting bias) Low risk Relevant outcome reported
Other bias High risk Small sample size, short follow‐up period