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

Toomey 2001.

Methods Non‐randomised controlled trial, unit of allocation = bar.
Participants Licensed bars in the USA. 
 Experimental = 5 bars 
 Control = 9 bars
Interventions Server training 
 Five one‐on‐one consultations (each 1‐2 hours) once a week, for owners and managers of bars. Aims: 
 1) develop and implement written establishment policies that encourage responsible alcohol sales; 
 2) inform and discuss new alcohol policies with staff. 
 Intervention was tailored specifically to each establishment. The goal was to change those actions of alcohol establishments (sales to minors and sales to patrons already significantly impaired by alcohol) that can lead to death, injury and damage.
Outcomes Observed server behaviour (using pseudo‐drunk actors).
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? High risk Five experimental bars, each with two matched control bars.
Allocation concealment? Unclear risk No information.
Blinding? 
 All outcomes Low risk Bars were unaware of the observation and the pseudo‐drunks were blind to allocation status.
Confounders Unclear risk Bars were matched according to bar type and location.
Data collection methods Unclear risk Observed server behaviour using pseudo‐drunks.
Withdrawals & dropouts Unclear risk One control premise was dropped from the study, therefore analysis based on five experimental and nine control bars.
Intervention integrity Unclear risk Full compliance is reported, which for this study was one bar owner/manager from each experimental bar receiving training.
Duration of follow‐up Unclear risk Pseudo‐drunks used to assess server behaviour 4‐6 weeks after intervention.