Table 1

Included studies—characteristics and risks of bias

First author (year)CountrySettingParticipantsParticipant ageStudy designFollow-upRisks of bias
Surrat (2010)USACommunity806
410 intervention
396 control
36.8 years
(mean)
(SD 8.2)
RCT3 and 6 months
  • No detail of randomisation or allocation process

  • No blinding of participants or personnel

  • Self-reported non-blinded outcome measures

  • Unclear whether analysis decisions were prospective eg, dichotomisation of outcome results

  • Follow-up rates calculated by combining attendance at either of follow-up appointments which increased follow-up rates

  • Intention to treat analysis not undertaken

Litchfield (2010)UKCommunity34Not statedBefore/after clinical records12 months
  • All participants received intervention and no control group

  • Self-reported non-blinded outcome measures

  • Missing data not accounted for

Sherman (2006)USACommunity5439 years
(median)
(IQR 34–45)
Before/after survey3 months
  • All participants received intervention and no control group

  • Self-reported and non-blinded outcome measures

  • Missing data not accounted for

Yahne (2002)USACommunity2737.8 years
(mean)
(SD 8.1)
Before/after survey4 months
  • All participants received intervention and no control group

  • Self-reported and non-blinded outcome measures

  • Follow-up in settings likely to influence outcomes and act as confounder

Bellis (1993)USAOutpatient4131.8 years
(mean)
Before/after12 months
  • All participants received intervention and no control group

  • Self-reported non-blinded outcome measures

  • No data on participants lost to follow-up

Gunne (1986)SwedenIn-patient3428.1 years
(mean)
(SD 5.8)
Before/after clinical records1–220 months
  • All participants received intervention and no control group

  • Self-reported non-blinded outcome measures