Parsons 2009.
Methods | RCT. | |
Participants | 143 HIV‐positive men and women who were on antiretroviral medication and met criteria for hazardous drinking. USA. | |
Interventions | MI + cognitive‐behavioral skills building (n= 65) vs a time‐ and content‐equivalent educational condition (n= 78). | |
Outcomes |
Physiological primary: None. Non‐physiological primary: Standard drinks in the past and drinks per drinking day. Secondary: Medication adherence. Follow‐up at baseline and at 3‐ and 6‐month follow‐ups. |
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Notes | Intervention is known as Project PLUS (Positive Living Through Understanding and Support). | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Urn randomisation procedures were used. |
Allocation concealment (selection bias) | Unclear risk | Insufficient information to permit judgement. |
Blinding (performance bias and detection bias) Patients and providers | Unclear risk | Blinding of providers was not possible, but participants could have been blinded. |
Blinding (performance bias and detection bias) Assessors | Unclear risk | It is not stated whether assessors were blinded. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | "An intent‐to‐treat analysis was used in which participants who completed the first follow‐up assessments were analyzed according to their original assigned study condition irrespective of the number of sessions attended." Attrition was 9% at the 3‐month follow‐up and 10% at the 6‐month follow‐up with no significant difference in attrition between the 2 conditions. Reasons for attrition provided. |
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 between groups at baseline were not reported. |