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

Emmen 2005.

Methods RCT.
Participants 123 Dutch patients who visited an outpatient clinic for problem drinking.
Interventions Dutch version of Drinker's Checkup (n= 61) vs care as usual (n= 62).
Outcomes Physiological primary: Serum carbohydrate‐deficient transferrin.
Non‐physiological primary: Units per day in previous six months.
Secondary: Motivation to change.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "...balanced block randomisation. The main researcher (M.J.E) used sealed envelopes to generate the allocation sequence."
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgment.
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 Not 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 Low risk 9% lost‐to‐follow‐up at 6 months. Balanced drop‐out. Reasons stated. ITT performed.
Selective reporting (reporting bias) Low risk The published report included all expected outcomes based on the study hypotheses.
Other bias Low risk Serum carbohydrate‐deficient transferrin (CDT) was measured (biological data). There were no differences between groups at baseline. No additional sources of bias appear to be present.