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

Rhodes 2009.

Methods Study design: controlled before‐after study
Sampling frame: 30 Latino soccer teams in central North Carolina
Sampling method: data collected from random sample of teammates from intervention and control teams
Collection method: questionnaire administered by staff member
Description of the community coalition: Chatham Communities In Action (CCIA) is a partnership between the local Latino community, local health organizations, religious organizations, Latino‐serving CBOs, advocacy groups, the local public health department, and academic institutions conducting community‐based participatory research
Participants Communities: 30 Latino soccer teams in central North Carolina
Country: USA
Ages included in assessment: > 18 years of age (n = 222)
Reasons provided for selection of intervention community: population of recently arrived, non‐English‐speaking Latino men in central North Carolina, a region of the USA with a quickly growing Latino population and disproportionately high rates of HIV and STD infection
Intervention community (population size): Chatham County — 55,000
Comparison community (population size): not reported
Interventions Name of intervention: HoMBRes (Hombres Manteniendo Bienestar y Relaciones Saludables)
Theory: Social Cognitive and Empowerment Theory
Aim: to reduce risk of HIV and STD infection among Latino migrant and seasonal farmworkers through increased condom use and increased counseling, testing, and treatment for HIV and STDs
Description of costs and resources: not reported
Components of the intervention: selection and training of members of local soccer teams as pilot lay health advisors (LHAs) to reduce HIV and STD infection among recently arrived, non‐English‐speaking Latino men; creation of HoMBRes training and resources manuals
Start date: October 2003
Duration: 18 months
Outcomes Outcomes and measures: condom use, HIV testing, behavior, knowledge of HIV transmission
Time points: baseline, 18‐month post‐Navegante training
Notes Members of control teams were offered intervention when study was completed
Funder: US Centers for Disease Control and Prevention
Funding source: government
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk No randomization
Allocation concealment (selection bias) High risk Allocation concealment not reported
Baseline outcome measurement similar Unclear risk Baseline measurement not reported separately for intervention and control groups
Baseline characteristics similar Low risk No statistically significant differences between intervention and control participants’ sociodemographic characteristics (P > 0.05 for all)
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Independent samples imply no attrition
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding not reported
Protection against contamination Low risk Teams chosen from geographically and socially distinct areas to minimize contamination
Selective reporting (reporting bias) Low risk Relevant outcomes reported