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. 2017 Jul 7;2017(7):CD006396. doi: 10.1002/14651858.CD006396.pub4

Seixas 2011.

Methods Both cluster and individually randomised RCT, first 4 work sites got baseline training, then these were cluster‐randomised to tool‐box or no tool‐box training and then individuals were randomised to noise level indicators or no indicators
Participants Construction workers; various trades
n = 176
USA
Interventions Many comparisons possible, we choose to compare two interventions considered to be most relevant for practice
Intervention 1: baseline training plus noise 'tool box' on‐site training (n = 44)
Intervention 2: baseline training plus noise 'tool box' on‐site training plus personal noise level indicator (n = 41)
Control: baseline training (n = 46)
Outcomes Noise level measured as Leq at 2 and 4 months' follow‐up
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
14. Blinding (subjects) High risk different interventions at the same site visible
15. Blinding (outcome assessors) Unclear risk not reported
16. Retrospective unplanned subgroup analyses Low risk no subgroup analyses
17. Follow‐up Low risk similar follow‐up
18. Statistical tests Unclear risk differences in outcome not tested
19. Compliance Low risk NLI checked every week, participating in training course or excluded
20. Outcome measures Low risk Leq according to NIOSH criteria
21. Selection bias (population) Low risk different intervention groups
22. Selection bias (time) Low risk same time
23. Randomization Unclear risk methods not reported
24. Allocation concealment Unclear risk not reported
25. Adjustment for confounding Low risk intention to treat
26. Incomplete outcome data High risk reported, no differences between groups, but loss to follow‐up ranged from 20%‐33%