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. 2016 Jul 18;2016(7):CD007025. doi: 10.1002/14651858.CD007025.pub4

Fleming 2010.

Methods Design: RCT
Follow‐up: 6, 12 months
Attrition: 12 %
Participants Mean age (years): 21
Sex: 49% male
N participants: 986
Allocation: n = 493 intervention; n = 493 control
Setting: college health clinics, higher risk students
Country: USA and Canada
Interventions Programme type: brief motivational interviewing
Set‐up: 2 individual sessions
Key components: contracting and goal‐setting, diary cards and take‐home exercises
Duration: 15 min each
Control: assessment only
Outcomes Outcomes: number of drinks last 28 days; number of heavy drinking days; number of drinking days last 28 days; alcohol related problems; urgent health care utilisation; health status measures ‐ depression, smoking, injuries, violence
Measures: Timeline Followback; Rutgers Alcohol Problem Index
Funding and Declared Conflicts of Interest Funded by NIAAA. No information or declarations about potential conflicts of interest
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation achieved using a computer‐generated allocation method
Allocation concealment (selection bias) Low risk No identifiers available to recognise controls
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Attrition 12%. Intention‐to‐treat analysis
Selective reporting (reporting bias) Low risk All expected outcomes reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding only occurred in the control condition: One of the goals of the trial was to blind subjects assigned to the control groups to minimise the intervention effect of the research procedures. The subjects randomised into the control group were told the trial focused on a number of health behaviours, including alcohol. The physicians and their staffs were not told which of their patients were randomised into the control group
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Assessors blinded to group status
Unit of Analysis issues Low risk Not applicable