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

Rhodes 2011.

Methods Study design: cluster RCT
Sampling frame: adult Latino males in rural central North Carolina
Sampling method: random; participants recruited from community locations frequented by Latinos
Description of the community coalition: community‐based participatory research partnership of more than 50 members located mainly in northwest and central North Carolina.  Members represent the lay community, including African American/black, Latino, and white gay men; organizational representatives; and academic researchers. Partnership has numerous studies ongoing
Participants Communities: rural central North Carolina
Country: USA
Ages included in assessment: 18+ (n = 139)
Reasons provided for selection of intervention community: Latinos in USA disproportionately affected by HIV/AIDS, North Carolina has one of the fastest growing Latino populations
Intervention community (population size): rural central North Carolina (unknown)
Comparison community (population size): rural central North Carolina (unknown)
Interventions Name of intervention: HoMBReS‐2 (Hombres Manteniendo Bienestar y Relaciones Saludables‐2)
Theory: Social Cognitive and Education Empowerment
Aim: to test the efficacy of a small‐group HIV prevention intervention regarding condom use and HIV testing behavior
Description of costs and resources: not provided
Components of the intervention: 2 small group sessions involving trust‐building activities, didactic teaching, DVD modules, role plays, and group discussion, as well as skills building, practice, and feedback
Start date: not provided
Duration: 2 sessions
Outcomes Outcomes and measures (follow‐up months)
  • Consistent condom use (3‐month follow‐up)

  • HIV testing (3‐month follow‐up) 


Years of pre and post measurements: not provided
Notes Participants entered the study and were randomly assigned in waves to avoid delays between recruitment and intervention delivery. Unclear why missing outcome data appear extensive
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomization occurred in waves; each participant selected an envelope from a discrete pool of assignments during each wave
Allocation concealment (selection bias) High risk No allocation concealment
Baseline outcome measurement similar High risk Consistent condom use much greater in intervention group (34.7%) than in control group (21.4%) at baseline
Baseline characteristics similar Unclear risk Intervention group significantly younger; all other presented characteristics appeared similar
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding
Incomplete outcome data (attrition bias) 
 All outcomes High risk Very low rate of loss to follow‐up reported, but final outcome measures show extensive missing observations
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding
Protection against contamination High risk No protection against contamination was detailed; 6 participants attended the incorrect intervention arm
Selective reporting (reporting bias) Low risk Main outcomes reported