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. 2013 Mar 28;2013(3):CD002213. doi: 10.1002/14651858.CD002213.pub3

Young 2005.

Methods CBA study involving 2 mental health provider organisations which received the intervention, while 3 acted as the control group
Participants Psychiatrists, mental health nurses, therapists, case managers
Interventions 6 educational components delivered over 1 year involving presentations, small group discussions, role play and 3‐ to 4‐day detailing visits
16 hours of follow‐up discussions to monitor progress
Outcomes Practitioner professional competencies
Notes Semi‐structured interviews were gathered to qualitatively explore the effects of the intervention in more detail
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote "This study used a quasi‐experimental
design" (p. 968)
Allocation concealment (selection bias) High risk EPOC describes that CBAs should be scored high for first 2 items
Baseline outcome measurements similar 
 All outcomes Low risk Reported in Tables 4 and 5
Baseline characteristics similar High risk Site selection based on clinics which "served a large population with severe and persistent mental illness, and provided similar types of services" (p. 986)
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Analyses undertaken "using multiple imputation to replace missing data" (p. 970)
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Contamination Low risk Sites based in 2 US states – Quote "each state included both intervention and control organizations, ensuring that external events would not be confounded with the intervention" (p. 986)
Selective reporting (reporting bias) Low risk See Tables 4 and 5
Other bias High risk Small sample size, authors did not measure change in the appropriateness of care or client outcomes (p. 974)

CBA: controlled before and after; EPOC: Effective Practice and Organisation of Care; IPE: interprofessional education; ITS: interrupted time series; RCT: randomised controlled trial.