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. 2021 May 5;17(2):e1156. doi: 10.1002/cl2.1156
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk

Quote: “Youth were then randomly selected by the research team using randomizer.org.”

Comment: random sequence generation was adequately done

Allocation concealment (selection bias) Low risk

Quote: “Participants were randomised at the end of the baseline survey. As such, all participants were blind to their arm assignment at enrolment.”

Comment: allocation concealment was adequate

Similar baseline characteristics Unclear risk
Similar baseline outcome measurement Unclear risk
Blinding of participants and personnel (performance bias) Low risk Comment: blinding was not possible due to the nature of the intervention
Blinding of outcome assessment (detection bias) Unclear risk Comment: insufficient information to permit judgement
Incomplete outcome data (attrition bias) Low risk

Quote: “Ninety‐two percent of intervention and 93% of control participants provided six‐month follow‐up data”

Comment: missing outcome data is balance across the groups

Prevention of knowledge of allocated intervention Unclear risk
Protection against contamination Unclear risk
Selective reporting (reporting bias) Low risk

Quote: “The study design initially proposed to examine the effects of exposure to CyberSenga on unprotected sex over the six‐month follow‐up period. Based upon the decision to deliver the final module as a booster, the main outcome measure was modified, prior to study implementation, to be unprotected sex in the past three months at six‐months' post‐intervention.”

Comment: outcome was modified but was adjusted appropriately with the changes to the methods.

Other bias Low risk Comment: insufficient information to permit judgement