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Table 3: 
Bias risk results
LowUnclearHigh
All studies
 Question 1.197 (95%)2 (2%)3 (3%)
 Question 1.223 (23%)79 (77%)0 (0%)
 Question 4.19 (9%)10 (10%)83 (81%)
 Question 4.89 (9%)0 (0%)93 (91%)
 Overall bias4 (4%)4 (4%)94 (92%)
Medically-focused adherence
 Question 1.164 (100%)0 (0%)0 (0%)
 Question 1.218 (28%)46 (72%)0 (0%)
 Question 4.17 (11%)3 (5%)54 (84%)
 Question 4.88 (13%)0 (0%)56 (88%)
 Overall bias3 (5%)4 (6%)55 (86%)
Engineering-focused adherence
 Question 1.133 (87%)2 (5%)3 (8%)
 Question 1.25 (13%)33 (87%)0 (0%)
 Question 4.12 (5%)7 (18%)29 (77%)
 Question 4.81 (3%)0 (0%)37 (97%)
 Overall bias1 (3%)0 (0%)37 (97%)