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. 2015 Apr 8;2015(4):CD010306. doi: 10.1002/14651858.CD010306.pub2

Brown 2010.

Methods Cluster‐randomized trial
Participants 77 teachers in 18 primary schools. 9 intervention (n=43) and 9 control (n=34) schools in New York City, USA
Interventions 1‐ 4Rs Programme‐ universal, school‐based intervention in literacy development, social‐emotional learning, and conflict resolution
2‐ No‐intervention control
Outcomes Teacher Perceived Emotional Ability Scale, Maslach Burnout Inventory
Surveys conducted at baseline and 6 months post intervention
Notes Teachers in the intervention group receive training and ongoing coaching in the delivery of the 4Rs curriculum to school children.
Date of the intervention: 2004‐2005
Funding: Institute of Education Sciences, U.S. Department of Education, in collaboration with the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services (Grant R305L030003); William T. Grant Foundation
Conflict of interest: No
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Schools pair‐wise matched and then randomly assigned using a uniform random numbers generator
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported, not applicable
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk It is stated that there was no attrition from fall to spring in the assessment of the first year of the study, and data were collected from 4 additional teachers.
Selective reporting (reporting bias) Low risk All stated outcome data reported
Recruitment bias Unclear risk Not reported
Baseline imbalance Low risk The authors report that the 2 groups did not differ significantly on a range of demographic and school characteristics employed in the matching procedures. However, teaching experience was significantly higher for the control group compared to intervention group, which may only be concerning if it was vice versa 
Incorrect analysis Low risk 2‐level hierarchical linear model used, and clustering taken into account
Other bias Unclear risk No mention of the total teacher population (sampling frame) and non‐responders, and no indication of whether the study was sufficiently powered