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). |
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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. |