TABLE 1.
Cochrane Risk of Bias Ratings from Studies Measuring Trainee Behavior and Recipient Mental Health Outcomes
| Study | a | b | c | d | e | f | g | Overall |
|---|---|---|---|---|---|---|---|---|
| Armstrong et al., 2020 (48) | High | High | Low | Low | High | Unclear | High | High |
| Ashoorian et al., 2019 (40) | High | High | Low | Low | High | Unclear | High | High |
| Banh et al., 2019 (49) | High | High | Low | Low | High | Unclear | High | High |
| Bond et al., 2020 (50) | High | High | Low | Low | High | Unclear | High | High |
| Carpini et al., 2020 (41) | High | High | Low | Low | High | Unclear | High | High |
| Currie, Davidson, 2015 (42) | High | High | Low | High | Unclear | Unclear | High | High |
| Fisher et al., 2020 (58) | Unclear | Unclear | High | High | High | Unclear | Low | High |
| Hart, Jorm, Paxton, 2012 (51) | High | High | Low | High | Low | Unclear | High | High |
| Hart, Jorm, Paxton, Cvetkovski, 2012 (52) | High | High | Low | Low | High | Unclear | High | High |
| Hart, Mason, et al., 2016 (10) | High | High | Low | Low | High | Unclear | High | High |
| Hart, Bond, et al., 2019 (53) | High | High | Low | Low | Low | Unclear | High | Medium |
| Hung et al., 2021 (31) | Low | High | High | High | Low | Unclear | Low | Medium |
| Jensen et al., 2016 (32) | Low | Low | High | Low | High | Unclear | Low | Medium-Low |
| Jorm, Kitchener, O’Kearney, et al., 2004 (34) | Low | Low | High | High | Unclear | Low | Low | Medium-Low |
| Jorm, Kitchener, Fischer, et al., 2010 (33) | Low | Low | High | Unclear | Low | Unclear | Low | Medium-Low |
| Jorm, Kitchener, Sawyer, et al., 2010 (35) | Low | High | High | Unclear | Low | Low | Low | Medium-Low |
| Kelly et al., 2011 (54) | High | High | Low | Low | High | Unclear | High | High |
| Kitchener, Jorm, 2002 (9) | High | High | Low | Low | Low | Unclear | High | Medium |
| Kitchener, Jorm, 2004 (36) | Low | Low | High | Low | High | Low | Low | Medium-Low |
| Mendenhall, et al., 2013 (43) | High | High | Low | Low | High | Unclear | High | High |
| Morgan et al., 2019 (39) | Low | Low | Low | Low | High | Low | Low | Low |
| Morgan et al., 2020 (38) | Low | Low | Low | Low | High | Low | Low | Low |
| Rodgers et al., 2019 (44) | High | High | Low | Low | High | Unclear | High | High |
| Svensson, Hansson, 2014 (37) | Low | Unclear | High | Low | Low | Unclear | Low | Medium-Low |
| Svensson et al., 2015 (45) | High | High | Low | Low | Unclear | Unclear | High | Medium-High |
| Svensson, Hansson, 2017 (55) | High | High | Low | Low | Low | Unclear | Low | Medium-Low |
| Thombs et al., 2015 (59) | Unclear | Unclear | High | Unclear | Low | Unclear | Low | Medium |
| Uribe Guajardo et al., 2018 (57) | High | High | Low | Low | High | Unclear | Unclear | Medium-High |
| Uribe Guajardo et al., 2019 (56) | High | High | Low | Low | Low | Unclear | High | Medium |
| Witry, Fadare, Pudlo, 2020 (46) | High | High | Low | Low | High | Unclear | Low | Medium |
| Witry, Karamese, Pudlo, 2020 (47) | High | High | Low | Low | High | Unclear | Low | Medium |
a=random sequence generation; b=allocation concealment; c=blinding of participants and personnel; d=blinding of outcome assessment; e=incomplete outcome data; f=selective reporting; g=other sources of bias; bolded studies met minimum rigor criteria (compared pre- and post-training outcomes, had control groups, and evaluated a form of MHFA that explicitly taught the ALGEE or Look Ask Listen Help Your Friend action plan).