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Table 3 Risk of bias

From: Systematic review of interventions to improve the psychological well-being of general practitioners

Bias

Gardiner et al. [34]

Holt and Del Mar

Gardiner et al. [34]

Asuero et al. [37]

Random sequence generation

(selection bias)

High – Allocation by preference of participant

Unclear –Insufficient information provided about sequence generation

High – Allocation by judgement of participant

Unclear – Insufficient information provided about sequence generation

Allocation Concealment

(selection bias)

High – Explicitly unconcealed procedure

Unclear – Insufficient information provided

High – Explicitly unconcealed procedure

Unclear-Insufficient information provided

Blinding of participants and personnel (performance bias)

High – Blinding of participants and personnel was not possible

High – Blinding of participants and personnel was not possible

High – Blinding of participants and personnel was not possible

High – Blinding of participants and personnel was not possible

Blinding of outcome assessment

(detection bias)

High – Self-reported outcomes

High – Self-reported outcomes

High – Self-report for Rural Doctor Distress and Intention to leave.

High Self-reported outcomes

Incomplete outcome data

(attrition bias)

Unclear – Insufficient reporting of attrition to justify ‘low’ risk

Low – Clear participant flow reported

Unclear – Insufficient reporting of attrition to justify ‘low’ risk

Unclear–Baseline table indicates there were dropouts in the intervention group. No details provided

Selective reporting

(reporting bias)

Low – The published report includes all expected outcomes

Low – All outcomes reported

Low – The published report includes all expected outcomes

Low-All outcomes reported.

Other bias

Unclear – Insufficient information to assess whether other important risk of bias exits

High – Concurrent educational program effecting 26 participants. 14 in intervention group did not receive the intervention as a consequence. Control group contamination possible.

Unclear – Insufficient information to assess whether another important risk of bias exits