Keder 1998.
Methods | Single site, parallel group RCT Location: Magee‐Womens Hospital clinic in Pittsburgh, PA, USA Time frame: enrolment October 1993 to November 1994 Sample size calculation (and outcome of focus): based on published meta‐analysis of interventions to improve adherence for medical appointments, estimated OR 2.2 for improved follow‐up; assume 50% no‐show, type I error 0.05, and power 90%, 120 needed for each group |
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Participants | General with N: 250 women attending clinic and willing to use DMPA for contraception. Inclusion criteria:
Exclusion criteria:
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Interventions | Intervention:
Comparison:
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Outcomes | Discontinuation rate at 12 months, rate of on‐time injections (an injection received within 14 weeks of the prior injection was classified as 'on‐time' injection), reason for discontinuation, DMPA‐induced side effects Follow‐up: 12 months |
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Notes | Trial registration: no details provided Funding: no details Declarations of interest: no details provided |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated randomization list |
Allocation concealment (selection bias) | Unclear risk | No information |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Women enrolled were told of their assignment; researchers not blinded |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Investigator communicated that she did the analysis and was aware of group assignment |
Incomplete outcome data (attrition bias) All outcomes | High risk | Loss to follow‐up: according to data provided by researcher, 36% overall; reminder group, 39%; no reminder group, 33% Report noted 17.6% loss for year‐end interview. |
Selective reporting (reporting bias) | Unclear risk | No protocol was available, however, outcomes prespecified in the manuscript were reported on. |
Other bias | Low risk | Appeared free of other sources of bias |