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

Russ 1987.

Methods Non‐randomised controlled trial, unit of allocation = server.
Participants Rural university town, USA 
 Experimental = 16 servers 
 Control = 9 servers 
 Experimental and control servers from two taverns.
Interventions Server training 
 Training for Intervention Procedures by Servers of Alcohol (TIPS), approximately six hours in length. During the training, servers are given information on the physiological effects of alcohol that can help them identify specific earning signs indicating when a customer is about to overindulge. Next, servers are taught a variety of tactics for dealing with intoxicated customers or those who appear to be approaching their limits. Use of role‐plays and discussion. Participants must correctly achieve at least 70% in a written test in order to become certified servers.
Control servers did not receive the training.
Outcomes Observed server behaviour (using pseudo‐patrons) 
 Exit BAC of pseudo‐patrons.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? High risk Seventeen servers employed at two local taverns participated. 50% of serving staff at each bar attended training, reasons for non‐participation included lack of interest and inability to attend the training. The remaining untrained servers were used as the controls.
Allocation concealment? High risk Inadequate.
Blinding? 
 All outcomes Unclear risk Pseudo‐drunks were blinded to allocation status.
Confounders Unclear risk Any differences in baseline characteristics between the two groups are not reported.
Data collection methods Unclear risk Observations used to assess server behaviour; 49 visits (24 before and 25 after) were made and interaction with server was tape recorded.
Withdrawals & dropouts Unclear risk None reported.
Intervention integrity Unclear risk All experimental servers completed training.
Duration of follow‐up Unclear risk Study period over 11 weeks.