Floyd 2007.
Methods | Design: individually randomized Location: Florida, Virginia, and Texas (USA) Time frame: recruited July 2002 through January 2004 Sample size calculation (and outcome of focus): N = 60 in each group to detect 30% difference in reduction of problem drinking |
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Participants | General with N: 830 women; age 18 to 44 years; at risk for alcohol‐exposed pregnancy Sources: primary care practices; jails; drug and alcohol treatment centers; hospital‐based gynecology clinic; Medicaid health maintenance organization; and media‐recruited sample Inclusion criteria: 18 to 44 years old; no condition causing infertility; not pregnant or planning to get pregnant in 9 months; had vaginal sex in past 3 months (or 3 months prior to jail) with non‐sterile male and without using effective contraception; engaged in risky drinking (≥ 5 drinks in a day or on average ≥ 8 drinks per week); available for follow‐up Exclusion criteria: no mention | |
Interventions | Study focus: change one or both of the target behaviors, i.e. risky drinking and ineffective contraceptive use Theory or model: motivational interviewing (MI) and Transtheoretical Model (TTM)
Duration: 14 weeks with sessions 2 to 3 weeks apart |
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Outcomes | Primary: ineffective contraception use (vaginal sex without contraception or with ineffective contraception, i.e. reported deviation from published guidelines for method use)
Secondary: NA Follow‐up assessments: 3, 6, and 9 months |
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Notes | 2016 article by Parrish examined mechanisms of treatment effect | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Data coordinating center used randomization program to generate unique IDs for each site; equal number in each study group |
Allocation concealment (selection bias) | Low risk | Sequentially‐numbered, sealed, opaque envelopes |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Presume no blinding of participants; not feasible due to type of intervention |
Blinding of outcome assessment (detection bias) | Low risk | Follow‐up interviews conducted by staff blinded to group assignment |
Outcome measures | High risk | Contraceptive use from self‐report |
Incomplete outcome data (attrition bias) All outcomes | High risk | Loss to follow‐up: 29% overall; 30% treatment and 27% control |
Other bias | Unclear risk | Analysis for cluster randomized trial: NA |