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.