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. 2016 Sep 15;2016(9):CD009837. doi: 10.1002/14651858.CD009837.pub2

Weinstein 2006

Methods Study design: randomised controlled trial
Conducted in: community in Surrey, British Columbia
Unit of randomisation: household
Unit of analysis: mother and child
Setting: mothers from Punjabi‐speaking (South Asian) community in Surrey, British Columbia, Canada
Funded by: "The study was supported by the National Institute of Dental and Craniofacial Research grant"
Duration of the study: 1 year (2004 to 2005)
Participants Inclusion criteria: not reported
Exclusion criteria: history of serious acute or chronic disease that would interfere with ability to examine the child, or with ability of the child and parent to participate fully
Age at baseline: recruited when child was 6 to 18 months old
N (controls baseline): not reported
N (controls follow‐up): not reported
N (interventions baseline): not reported
N (interventions follow‐up): not reported
Recruitment: Temples and fairs in the South Asian Punjabi speaking community (total participants: n = 240; study does not provide a breakdown of participant numbers in terms of intervention and control groups)
Gender: not reported
Interventions Intervention: pamphlet and video plus 45‐minute counselling, 2 follow‐up telephone calls within 6 weeks, 4 follow‐up calls within 20 weeks and postcards
Control: education pamphlet and video
Duration of intervention: not directly reported
Outcomes Caries/New caries lesions (decayed or filled surfaces)
Implementation related factors Theoretical basis: motivational Interviewing, behaviour change
Resources for implementation: educational material, video, pamphlet, interviewing, postcards
Who delivered the intervention: 3 trained local South Asian women who acted as counsellors
PROGRESS categories assessed at baseline: yes
PROGRESS categories analysed at outcome: not reported
Outcomes related to harms/unintended effects: not reported
Intervention included strategies to address diversity or disadvantage: not reported
Economic evaluation: not reported
Notes 240 healthy infants 6 to 18 months of age were recruited; 205 (85%) total were analysed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were assigned to motivational counselling or to a health education group via a table of random numbers, after children had been stratified into 2 age groups (6 to 12 months and older than 12 months)
Allocation concealment (selection bias) Unclear risk Unclear
Incomplete outcome data (attrition bias) All outcomes Unclear risk Unclear
Selective reporting (reporting bias) Low risk Published report presents all expected outcomes of interest to the review
Other bias Unclear risk Unclear
Blinding of participants and personnel (performance bias) All outcomes Unclear risk Unclear
Blinding of outcome assessment (detection bias) All outcomes Unclear risk Unclear