Bell 2007.
Methods | RCT. | |
Participants | 60 veterans enrolled in substance abuse treatment at the New Mexico Veterans Affairs Health Care System, USA. | |
Interventions | MI + TAU (n=40) vs TAU (n=20). | |
Outcomes |
Physiological primary: None. Non‐physiological primary: Drinks per day, number of drinking days, percent within safe drinking limits, substance use per day, and number of substance use days. Secondary: None. Follow‐up was at 2 months. |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Participants were assigned to condition by a computerized urn randomisation program which balanced for distribution to the groups by the following factors: age, education, presence or absence of history of head injury with loss of consciousness, gender, and enrolment (yes/no) in the six standard treatments..." |
Allocation concealment (selection bias) | Unclear risk | Insufficient information to permit judgement. |
Blinding (performance bias and detection bias) Patients and providers | High risk | No blinding. |
Blinding (performance bias and detection bias) Assessors | Unclear risk | It is not stated whether assessors were blinded. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 22% were lost to follow‐up at 2 months. Not ITT. Reasons for loss to follow‐up stated, but reasons for removal were that they were disqualified because of lack of baseline drinking (n=7). Loss was balanced. |
Selective reporting (reporting bias) | Low risk | The published report included all expected outcomes based on the stated hypotheses. |
Other bias | High risk | Only self‐reported outcomes. More females received MI. |