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

Bramston 1985.

Methods Design: four group parallel trial 
 Purpose: examine the effect of cognitive and behavioural social skills training with intellectually handicapped adults
Participants Patients: institutionalised intellectually handicapped adults 
 Baseline comparability: yes (outcomes)
Interventions Placebo: unstructured training in 'money management' 
 Untreated: no training 
 Experimental: 
 ‐cognitive social skills training 
 ‐behavioural social skills training 
 (Co‐intervention: standard care)
Outcomes Social skills assessment chart 
 Staff questionnaire on social skills 
 Preschool interpersonal problem solving
Notes  
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/training)
Blinding? 
 Outcome assessor Low risk 'None of the raters participated in the training programme or were aware of S‐group allocation'
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? High risk N = 24
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49