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. 2008 Jul 16;2008(3):CD005244. doi: 10.1002/14651858.CD005244.pub3

Krass 1994.

Methods Randomised controlled trial, unit of allocation = bar.
Participants Waverley, Australia. 
 Experimental = 4 bars 
 Control = 4 bars
Interventions Server training 
 Four hour training package for all staff of licensed alcohol serving establishments. The aim of which was to equip participants with the knowledge and skills necessary to comply with the Liquor Act and to develop responsible service practices within licensed premises. 
 Topics included in the package; 
 1) The New South Wales Liquor Act 
 2) Definition of Responsible Hospitality Practices 
 3) Identification of Responsible Hospitality Practices 
 4) Facts about alcohol 
 5) Responsible promotions 
 6) Preventing under‐age drinking 
 7) Recognising intoxication 
 8) Preventing harmful consequences of intoxication 
 9) Skills for the refusal or modification of requested service.
Control group received no server training.
Outcomes Behaviour of patrons (alcohol consumption, measured by breath test and interview). 
 Knowledge (in trained group only) measured using questionnaires.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Eight premises agreed to participate. The bars were matched into pairs and then one from each pair was assigned at random to the experimental group.
Allocation concealment? Unclear risk No information reported.
Blinding? 
 All outcomes Unclear risk Interviewers were blind to allocation status.
Confounders Unclear risk Bars were matched in pairs according to size and type of clientele prior to intervention assignment.
Data collection methods Unclear risk Knowledge was measured in the trained servers only using pre and post questionnaire, 66 completed. 
 Exit surveys of a sample of patrons involving a breath test and interview. 233 pre‐test patron interviews were made at five sites (response rate=40%), 305 post‐test interviews at four sites (response rate=53%). Observed estimates of BAC of patrons who refused to participate were made to assess volunteer bias.
Withdrawals & dropouts Unclear risk Three bars withdrew from the baseline patron exit surveys and four withdrew from the follow‐up surveys.
Intervention integrity Unclear risk 70 servers were trained.
Duration of follow‐up Unclear risk Knowledge questionnaire administered immediately before and after training. 
 Patron exits surveys were conducted four weeks after intervention.