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. 2017 Jan 30;2017(1):CD009778. doi: 10.1002/14651858.CD009778.pub2

Summary of findings 2. Multilevel educational intervention versus no intervention.

Five‐arm cluster randomised trial
Patient or population: employees
 Setting: workplaces in several locations in the UK
 Intervention: education and policy development, at organisational level
 Comparison: no education
Outcomes Effect of the intervention № of participants
 (studies) Quality of the evidence
 (GRADE)
Bullying
 assessed with: Self report
 Follow up: mean 6 months Insufficient data reported for analysis 1041
(1 study)
⊕⊝⊝⊝
 VERY LOW 1
Absenteeism
 assessed with: organisational data Insufficient data reported for analysis 1041
(1 study)
⊕⊝⊝⊝
 VERY LOW 1
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval.
GRADE Working Group grades of evidenceHigh quality: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
 Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 We would have downgraded the quality of evidence once due to high risk of bias caused by study limitations (lack of blinding and use of self‐reporting instrument) and twice due to imprecision (study conducted in mixed settings and with unclear number of participants). However, once was enough to reach very low quality evidence as we started at low quality evidence because the included studies used a controlled before‐after design. We found no reason to upgrade the quality of the evidence.