Wallin 2002.
Methods | Non‐randomised controlled trial, unit of allocation = area. | |
Participants | Licensed premises in Stockholm, Sweden. Experimental area = northern part of central Stockholm (˜550 licensed premises). Control area = southern part of central Stockholm (˜270 licensed premises). | |
Interventions | Server training 'STAD project', a multi‐component community alcohol prevention project initiated in 1996. Main categories: 1) Community mobilisation; 2) Two day responsible beverage service training course; 3) Enforcement of existing alcohol regulations. The server training course targeted restaurant owners, bartenders, servers and doormen. It covered the medical effects of alcohol consumption, information about alcohol laws, server intervention training, other drugs and group discussions. | |
Outcomes | Observed server behaviour (using pseudo‐drunks). Observed server behaviour ‐ customers who appeared to be under 18 attempted to buy a drink. |
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Notes | Injury data (police reported violence) were also collected, however not used in this review as it was not possible to attribute changes in this outcome to the server training component of the intervention. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | High risk | Experimental area comprised the northern part of central Stockholm (containing ˜550 licensed premises at baseline) and control comprised the southern part of central Stockholm (containing ˜270 licensed premises). |
Allocation concealment? | Unclear risk | Inadequate. |
Blinding? All outcomes | Unclear risk | Pseudo‐drunks and "under‐18" patrons were blind to allocation status. |
Confounders | Unclear risk | Any differences in baseline characteristics between the two areas are not reported in pseudo‐drunk study. "Under‐18" study reports several differences; thus 23% of intervention premises were nightclubs but only 2% of control premises. |
Data collection methods | Low risk | Observations of server behaviour to pseudo‐drunks and "under‐18s" used to assess server behaviour. Violence data were collected from police records for 48 months before and 33 months after. |
Withdrawals & dropouts | High risk | The experimental and control areas both remained in the study. (In both intervention and control areas some premises closed and new premises opened; actual figures not supplied.) |
Intervention integrity | High risk | Only 37 of the 61experimental bars sampled had trained their staff when the pseudo‐drunk follow‐up was done. An unspecified number had not trained their staff when the "under‐18" follow‐up was done. |
Duration of follow‐up | Low risk | Observations conducted at the start of the intervention (1996) and at follow‐ups: pseudo‐drunks three years after intervention (1999); "under‐18s" two years (1998) and five years (2001). |