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. Author manuscript; available in PMC: 2014 Sep 23.
Published in final edited form as: Cochrane Database Syst Rev. 2011 Aug 10;(8):CD000125. doi: 10.1002/14651858.CD000125.pub4
Methods Cluster RCT, with the ward as the unit of randomisation.
Participants 220 nurses from 6 medical 7AMP; surgical wards in a teaching hospital.Opinion leader + lecture: n=2; Opinion leader; n=2 and Lecture: n=2
Country: China (Hong Kong)
Type of targeted behaviour: general management of a problem (proper use of urinary catheter)
Interventions Intervention
  1. Local Opinion Leaders + standardised 30 minutes lectures

  2. Local Opinion Leaders


Method of OL identification: Informant
Proportion of Social Network that nominated OL: N/A
Single OL or OL teams identified:teams consisting of a staff nurse + a nursing officer
OL disseminated information: Formal (Small group demonstration tutorials)
OL frequency of involvement:UNCLEAR
Control
Standardised 30 minutes lectures
Outcomes Proportion of nurses’ actions meeting local guidelines for urinary catheter care
Notes
Risk of bias
Bias Authors’ judgement Support for judgement
Random sequence generation (selection bias) Low risk p.210/Para3
“The three male medical and three female surgical wards in the hospital were divided by a random draw into three groups.”
Allocation concealment (selection bias) Low risk It was a cluster RCT, with the ward as the unit of allocation
Blinding (performance bias and detection bias)
All outcomes
Unclear risk Not mentioned in the paper.
Incomplete outcome data (attrition bias)
All outcomes
Unclear risk Not mentioned in the paper.
Selective reporting (reporting bias) Low risk All outcomes mentioned in the methods section were also presented in the results
Other bias Low risk
Similar baseline outcome measures? Low risk p.213/Table 1
Similar baseline characteristics? Low risk p.213/Table 1
Protection against contamination? Low risk Randomisation was made at the level of the wards.