Naar‐King 2006.
| Methods |
Design: RCT Follow‐up: 3 months, 9 months Attrition: unclear |
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| Participants |
Mean age (years): 21.09 Sex: 52% male N participants: 65 Allocation: n = 32 intervention n = 33 control Setting: adolescent HIV clinic; all patients Country: USA |
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| Interventions |
Programme type: motivational enhancement therapy Set‐up: 4 individual sessions Key components: session 1: focus on the 2 most difficult behaviours based on their baseline assessment; personalised feedback of risk behaviours based on the baseline assessment; behavioural change plan. Choice of which behaviour to focus on first; session 2: followed the same format for the second target behaviour. In the subsequent 2 sessions the therapist reviewed the personalised behaviour change plan, continued to monitor and encourage progress, problem‐solved barriers, and elicited strategies to maintain health behaviours and to prevent relapse Duration: 60 min Control: assessment only |
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| Outcomes |
Outcomes: Frequency of (drug and) alcohol use; sexual risk behaviour; viral load Measures: Timeline Followback |
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| Funding and Declared Conflicts of Interest | Funded by NIDA. Authors declare no conflicts | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Random numbers were generated by the project manager using an Internet‐based random number generator |
| Allocation concealment (selection bias) | Unclear risk | Sealed envelopes used but unclear whether opaque or sequentially numbered |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Attrition not stated. Intention‐to‐treat analysis completed |
| Selective reporting (reporting bias) | High risk | Not all alcohol outcomes reported (e.g. Alcohol dependency scale) |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Not possible to blind participants to intervention. Insufficient information to make a judgement about blinding of therapists |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Insufficient information to permit judgement |
| Unit of Analysis issues | Low risk | Not applicable |