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. 2011 May 11;2011(5):CD008063. doi: 10.1002/14651858.CD008063.pub2

Carroll 2009.

Methods Multisite RCT (5 sites) in the USA.
Participants 436 Hispanic substance abusers from the USA.
Interventions MET (n = 214) vs counselling as usual (n =222).
Outcomes Physiological primary: Percent positive urine specimens.
Non‐physiological primary: Days of substance use by week, percent days abstinent from alcohol.
Secondary: Treatment retention (days enrolled in treatment at community treatment program through week 16).
Notes The design paralleled that of Ball 2007b.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Urn allocation.
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement.
Blinding (performance bias and detection bias) 
 Patients and providers Low risk No blinding, but most outcomes were physiological and also used to validate self‐reports, and not likely to be influenced by lack of blinding.
Blinding (performance bias and detection bias) 
 Assessors Low risk Insufficient information to know whether assessors were blinded. But most outcomes were physiological and also used to validate self‐reports, and not likely to be influenced by lack of blinding.
Incomplete outcome data (attrition bias) 
 All outcomes High risk 28 % lost to follow‐up. Reasons for attrition not described but similar between groups. Not ITT even though they reported an intention to treat sample.
Selective reporting (reporting bias) Low risk The published report included all expected outcomes based on the stated hypotheses.
Other bias Unclear risk Only self‐reported outcomes. Differences at baseline were not reported.