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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Hovell 2003.

Methods Design: three group parallel trial 
 Purpose: study the effect of adherence coaching to treatment adherence for TB
Participants Patients: adolescents with TB 
 Baseline comparability: yes
Interventions Placebo: sessions with self‐esteem counselling (12 sessions, 9 months) 
 Untreated: no sessions 
 Experimental: sessions with adherence counselling 
 (Co‐intervention: TB medication)
Outcomes Cumulative number of pills 
 Proportion of TB treatment completers (180 pills within 9 moths) 
 Interaction of alcohol consumption and lack of treatment adherence
Notes We have multiplied the results by negative 1 to change the direction of the summary statistics.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/coaching)
Blinding? 
 Outcome assessor Unclear risk Not relevant as outcome was patient reported (number of pills)
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? Low risk N = 194
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed