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 |
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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) |
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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% |