Swanson 1999.
Methods | Allocation: randomised.
Design: single‐centre (two inner city hospitals).
Duration: not stated; time to first appointment after discharge.
Setting: hospital. Location: New York, NY, USA. |
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Participants | Diagnosis: schizophrenia, psychosis, or schizo‐affective disorder (45% of sample have substance abuse problems).* N = 93. Age: mean ˜ 34 years. Sex: 60 M, 33 F. Ethnicity: 46% African‐American, 45% Hispanic. Inclusion criteria: voluntary inpatients with no organic brain disease or other serious medical illness, learning disability or deafness. | |
Interventions | 1. Psychosocial intervention: routine care plus 15 minute motivational interview at start of hospitalisation. Another one hour motivational interview 1 or 2 days before discharge. N = 48. 2. Standard care: routine care. N = 45. | |
Outcomes | Leaving the study early: lost to evaluation. Service use: attendance at first aftercare appointment following hospital discharge. | |
Notes | Not ITT analysis. *Data given only for those with substance abuse problems. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised (using random number table). |
Allocation concealment (selection bias) | High risk | Therapist consulted a random number table to determine group assignment. May have influenced section bias. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Clinician‐/participant‐mediated and participants and personnel not blinded. It is not possible to blind a psychosocial intervention. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not clear if raters independent or blind to allocation. Primary outcome measure was time to next appointment. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Lost to follow‐up: 0%, (0/93) 3 months. |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgement of 'yes' or 'no' as no protocol was available. |
Other bias | Low risk | No evidence other bias occurring. |