Svikis 2007.
Methods | RCT. | |
Participants | 91 pregnant drug‐dependent women enrolled in comprehensive drug use treatment programme ‐ 18 years of age or older who met the DSM‐III‐R criteria for opiate, or cocaine dependence, or both. Exclusion: Received methadone pharmacotherapy, delivered prematurely or aborted during study period, were administratively discharged from study, had extended or reduced residential stays, had acute psychiatric distress that prohibited study participation. Mostly in early 30s, 74% single/never married, 84% African American, and 95% unemployed, mean education of 11.2 years (SD = 1.9). 79.0% cocaine dependence, 37.1% opiate dependence, 17.7% alcohol dependence, and 17.7% cannabis dependence. |
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Interventions | For all participants, treatment included 7 days of residential care followed by 30 days intensive outpatient care.
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Outcomes | Rate of premature residential treatment dropout against medical advice (AMA). Length of stay in treatment. Mean days prior to AMA. | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "Those providing informed consent were randomly assigned to either standard care or an escalating voucher schedule.." No specific description of randomization process used. |
Allocation concealment (selection bias) | Unclear risk | No mention of allocation concealment. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | As attrition is a primary outcome, incomplete data does not seem to be an issue. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding of outcome assessors not mentioned. |