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. 2019 Apr 4;2019(4):CD010880. doi: 10.1002/14651858.CD010880.pub2

Eisen 2012.

Methods Allocation: randomised
Blindness: not stated
Study duration: 3 months
Location: multicentre
Design: parallel
Setting: inpatients
Country: USA
Consent: written
Participants Diagnosis: psychotic disorders, depressive disorder, alcohol‐use disorder or substance‐use disorder
N = 298
History: not stated
Sex: men 220, women 78
Age: range 30–60 years
Exclusion criteria: not stated
Interventions Group 1: peer‐support + standard care (n = 74).
Content: peer facilitators used written recovery material such as the Spanior Recovery Workbook available from the Boston University. Peer leaders also shared their personal experiences as veterans with mental illness.
Delivered by: 2 peer facilitators.
Frequency: group met for 45 minutes weekly.
Treatment duration: 12 weeks.
Group 2: clinician‐led recovery + standard care group (n = 82).
Content: clinician‐led recovery group.
Delivered by: 1 Master's‐level clinician.
Treatment duration: 45 minutes weekly.
Group 3: standard care (n = 84).
Content: treatment as usual group. Details not reported.
Outcomes Global state: general health (VR‐12)
Mental state: empowerment, hope, mental health
Behaviour: recovery, activation
Peer outcomes: social support
Unable to use
Global state: leaving the study early (data were not reported by each group).
Mental state: depression, self‐harm, emotional liability, interpersonal relationship, psychotic symptom (skewed data)
Behaviour: alcohol use (skewed data)
Notes Funding source: study was supported by the VA Rehabilitation Research and Development Service grant D4464R.
We contacted author to clarify the proportion of schizophrenia but received no reply.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Veterans were randomly assigned to...", "the random assignment was in an envelope."
Comment: trials were randomised with allocation concealment. Under this condition, we assumed the author did the random sequence generation adequately.
Allocation concealment (selection bias) Low risk Quote: "the random assignment was in an envelope."
Comment: allocation concealment ensured.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: the author did not describe the blinding of participants and personnel. Insufficient information to make judgement.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: the author did not describe the blinding of outcome assessment. Insufficient information to make judgement.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: "Of these (298 veterans), 240 (81%) completed the three‐month follow‐up and were included in the analyses."
Comment: low attrition rate and participants leaving early were balanced in groups. Analysis of attrition was included in the study.
Selective reporting (reporting bias) Unclear risk Comment: protocol not available. Insufficient information to make judgement.
Other bias Low risk None noted.