Components | Strong | Moderate | Weak |
Selection bias | Very likely to be representative of the target population and ≥80% participation rate | Somewhat likely to be representative of the target population and 60%–79% participation rate | All other responses or not stated |
Design | Randomised controlled trial and CCT | Cohort analytic, case–control, cohort or an interrupted time series | All other designs or design not stated |
Confounders | Controlled for at least 80% of confounders | Controlled for 60%–79% of confounders | Confounders not controlled for, or not stated |
Blinding | Blinding of outcome assessor and study participants to intervention status and/or research question | Blinding of either outcome assessor or study participants | Outcome assessor and study participants are aware of intervention status and/or research question |
Data collection methods | Tools are valid and reliable | Tools are valid but reliability not described | No evidence of validity or reliability |
Withdrawals and drop-outs | Follow-up rate of ≥80% of participants | Follow-up rate of 60%–79% of participants | Follow-up rate of <60% of participants or withdrawals and drop-outs not described |
CCT, controlled clinical trial.