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. 2018 Jul 5;2018(7):CD011849. doi: 10.1002/14651858.CD011849.pub2

Meffert 2014.

Methods Pilot RCT
Participants Sudanese refugees living in Cairo, Egypt. Darfurians have been attacked by government‐backed militias and have fled to Egypt. They have undergone intense traumatic exposure, including rape, murder of family members, and narrow escape from death. The trial was conducted from April to August 2008
Patients were screened according to the following selection criteria: absence of cognitive dysfunction that required a higher level of care or interfered with the ability to participate in IPT, absence of severe thought or mood disorder symptoms that required a higher level of care or interfered with the ability to participate in IPT, absence of drug and alcohol dependence, HTQ score of 2.3 or greater, ability to attend twice‐weekly therapy sessions for 3 weeks and return for regular screening, and ability to give verbal informed consent
Age: 21‐42 years
Interventions Interpersonal psychotherapy (IPT): 13 participants
Wait list control: 9 participants
Outcomes PTSD (Harvard Trauma Questionnaire ‐ HTQ); depression (Beck Depression Inventory‐II ‐ BDI–II); family violence (Conflict Tactics Scale ‐ CTS); anger expression (State‐Trait Anger Expression Inventory ‐ STAXI)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Eligible participants were randomly assigned using a computer‐generated random allocation sequence"
Allocation concealment (selection bias) Unclear risk No information provided
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Quote: "Participants were not blinded to group status"
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Quote: "Therapists were not blind to group status"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Less than 20% of participants abandoned the study prematurely
Study endpoint: 2/13 missing from IPT group; 1/9 missing from WL group
Selective reporting (reporting bias) Low risk The study protocol is not available, but it is clear that published reports include all expected outcomes
Therapist qualification Unclear risk Quote: "Sudanese mental health professionals were not available in Cairo, so community members without previous mental health education were trained to deliver the care"
Treatment fidelity Unclear risk No information provided
Therapist/investigator allegiance Unclear risk No information provided
Other bias Unclear risk Sponsorship bias cannot be ruled out