Methods |
Randomised controlled trial |
Participants |
43 Sudanese refugees in Uganda. All diagnosed with PTSD. (16 men, 27 women) |
Interventions |
4 sessions of NET (n = 17) vs 4 sessions of supportive counselling (n = 14) vs one session of psychoeducation (n = 12) (NET and supportive counselling groups included in meta‐analysis). |
Outcomes |
PDS |
Notes |
Experienced therapists delivered therapy. Treatment adherence was not monitored, |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Low risk |
Quote: "Each participant was randomly assigned (using a dice) to one of three treatment groups: narrative exposure therapy, supportive counselling, or psychoeducation only." |
Allocation concealment (selection bias) |
Unclear risk |
Comment: There is no mention of any measures taken to conceal allocation. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Comment: One participant dropped out from NET and two from supportive counselling. ITT analyses were performed. Reasons for drop‐out were not fully reported. |
Selective reporting (reporting bias) |
Low risk |
Comment: All specified outcomes were reported. |
Other bias |
High risk |
Comment: The issue of researcher allegiance cannot be ruled out. Treatment adherence was not monitored. |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
Comment: Participants were aware of their allocation. |
Blinding of outcome assessment (detection bias)
All outcomes |
Low risk |
Quote: "The local and expert interviewers who carried out the posttests, as well as the follow‐up tests, were blind for the individual participant’s treatmentcondition." |