Parr 2013.
Methods | RCT. | |
Participants | 6 individuals attending their GP who had been prescribed BZDs for longer than 3 months in Canada. 3 participants in the intervention group; 3 participants in the control group. | |
Interventions | Intervention group: Immediate mailed CBT plus taper. The content of the mailed CBT package included making decisions; coping with withdrawal and after; sleeping better; straight thinking; be active; finding a supporter; eating when you don't feel like it; coping with worry; planning your day; keeping on track; life after 'benzos'; returning to benzo use. It comprised 12 weekly newsletters, together with feedback on assessments and on the progress of their dose reduction. Control group: Delayed mailed CBT, plus taper. |
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Outcomes | Self‐reported consumption of BZDs at baseline, and 3 months. This study had a waiting list controlled design, whereby participants in the control group received the intervention post 3 month follow‐up. Therefore, both the 6 month and 12 month data collection was not relevant for the current review. | |
Notes | Funding source: Not reported. Declarations of interest: Not reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Once participants were judged to be eligible to participate and consented to the trial, they completed the baseline assessments and were randomly allocated to receive M‐ CBT immediately or after 3 months. The random allocation process was conducted by an independent research associate and occurred in blocks of six participants, using a series of random permutations of the numbers 1–6 in order to ensure approximate equalisation across groups". |
Allocation concealment (selection bias) | Low risk | "Envelopes were provided to the research team in numbered order and allocated to participants when they commenced with the program". |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | No objective measure used. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No blinding or incomplete blinding, and the outcome is likely to be influenced by lack of blinding. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No objective measure used. |
Blinding of outcome assessor (detection bias) subjective outcomes | Low risk | "At each assessment point, they returned monitoring sheets by post, and a researcher who was blind to their condition interviewed them by telephone to confirm and clarify their consumption data". |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Missing outcome data balanced in numbers across intervention groups, with similar reasons for missing data across groups. |
Selective reporting (reporting bias) | Low risk | The study protocol is not available but the published reports include all expected outcomes, including those that were pre‐specified in the method section. |