| Random sequence generation (selection bias) |
Low risk |
Participants were randomized by computer (randomly generated sequences with blocking) to either the treatment or comparison groups. |
| Allocation concealment (selection bias) |
High risk |
Neither staff nor participants were blinded to the intervention. |
| Blinding of participants and personnel (performance bias) |
High risk |
Blinding of participants and personnel was not possible due to the nature of the intervention and study design. |
| Blinding of outcome assessment (detection bias) |
Unclear risk |
No description of blinding of outcomes assessment was provided. |
| Incomplete outcome data (attrition bias) |
High risk |
Retention for follow‐up assessments ranged from 82% to 96%. Retention rates in the treatment condition were significantly higher than those in the comparison condition at the 6‐ and 18‐ month follow‐up assessment. |
| Selective reporting (reporting bias) |
Low risk |
No evidence of reporting outcomes selectively was detected. |
| Other bias |
Unclear risk |
Self‐reported data obtained in this study may be affected by socially desirable responding and recall biases, which were minimized by using A‐CASI for more sensitive questions and a 90‐day recall period rather than a longer period. |