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. 2015 Apr 7;2015(4):CD003406. doi: 10.1002/14651858.CD003406.pub4

Willner 2002.

Methods Quasi‐randomised controlled trial (randomisation using alternate referrals)
  • Setting: study conducted in the UK; community (participants recruited from community teams)

  • Study dates are not provided

Participants
  • Inclusion criteria: presence of intellectual disability and problems with anger control

  • 16 adults with intellectual disabilities were included (2 later dropped out); 8 participants in each group

  • Mean age in treatment group 31.4; age range 18 ‐ 57; mean age in control group 30.4, age range 19 ‐ 55

  • Participants had mild to moderate level of intellectual disabilities (WAIS‐III/WAIS‐R)

Interventions Treatment 1: 9 x 2‐hour group sessions
  • Treatment was provided by psychologists/therapists

  • Adherence to treatment/fidelity was not assessed


Treatment 2: wait‐list control
Outcomes
  • Anger ratings by clients and carers at baseline, 3 weeks post‐treatment, and at 3 months follow‐up (intervention group only and therefore not included in the analysis)

  • Measures included the Novacos Anger Scale and Provocation Inventory

Notes
  • No information in source of funding

  • No declaration of conflicts of interest statement

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Randomisation was based on alternate referrals
Allocation concealment (selection bias) High risk No concealment of allocation as it was not possible
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding of participants and personnel
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Quote: "it was not possible to arrange for assessments to be carried out independently or blind"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 2 participants were not included in the analysis. Quote: "one dropped out of the treatment group after the first session and the other, who was now in the control group, declined the post‐group assessment." The reasons for the dropout/missing data do not appear to be related to the outcome
Selective reporting (reporting bias) Low risk All prespecified outcomes were reported
Other bias High risk No published psychometric data on the instruments used