Miller 2003.
Methods | Multisite RCT (2 sites). | |
Participants | 208 US outpatients and inpatients entering public agencies for treatment of drug problems. | |
Interventions | 1 session MI (n= 104) vs treatment as usual (n= 104). | |
Outcomes |
Physiological primary: Urine toxicology. Non‐physiological primary: Percent days abstinent from illicit drugs and alcohol. Secondary: Retention (frequency of therapy sessions attended). |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Urn randomisation. |
Allocation concealment (selection bias) | Unclear risk | The urn randomisation was performed while the client was completing baseline assessment. |
Blinding (performance bias and detection bias) Patients and providers | Unclear risk | No blinding but urine toxicology. |
Blinding (performance bias and detection bias) Assessors | Low risk | "Assessment for all participants was conducted by experienced interviewing staff of CASAA's Program Evaluation Services unit, who were unaware of treatment group assignment." |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | At 3, 6, 9, and 12 months, attrition was 7%, 14%, 20% and 21%, respectively. Loss was balanced across groups. Reasons not reported. ITT not performed. |
Selective reporting (reporting bias) | Unclear risk | Addiction Severity Index was reported in the methods section, but it was not reported in the results section. |
Other bias | Unclear risk | Urine drug screens and collateral reports were used to check on self‐report. There is a possibility that the standard care group had received MI. The MI group received one additional session. There were no differences between groups at baseline. |