Dembo 2001.
| Methods | Design: RCT Follow‐up: 2, 3, & 4 yrs (post intervention) Attrition: 13.7% (2 yrs), 15% (3 yrs), 24.2% (4 yrs) Unit of randomisation: adolescent | |
| Participants |
N of subjects randomised: Int: NR Ctrl: NR Total N: 315 N of subjects at last observation at yr 2, 3, or 4: Int: NR Ctrl: NR Total N: 278 Age: mean: mean 14.5; range 11 to 18 yrs Sex (male): 56% Ethnicity: 56% Anglo, 41% African Amercican Country: USA |
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| Interventions |
Number of experimental conditions: 2 Description of Intervention: Family Empowerment Intervention (FEI) sought to improve family functioning by empowering parents. Project field consultants visited families to work on the following goals: (1) restore family hierarchy (parents, children, etc.); (2) restructure boundaries between parents and children; (3) encourage parents to take greater responsibility for family functioning; (4) increase family structure through implementation of rules and consequences; (5) enhance parenting skills; (6) have parents set limits, expectations, and rules that increase the likelihood the target youth’s behavior will improve; (7) improve communication skills among all family members; (8) improve problem‐solving skills, particularly among target youth; and (9) where needed, connect the family to other systems (e.g. school, church, community activities) Type of intervention: selective (youths processed through a juvenile assessment centre after an arrest) Focus/target: psychosocial functioning among youths Fidelity: NR Dose: NR Duration/frequency: 10 weeks, contact once per week Control: Extended Services Intervention (ESI) group families received monthly phone contacts from project Research Assistants |
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| Outcomes |
Length of follow‐up: last observation Alcohol outcomes: Number of days used alcohol in the past month Number of times youth got drunk on alcohol in the past year |
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| Funding and Declared Conflicts of Interest | Funding through the National Institute on Drug Abuse. No information or declarations about potential conflicts of interest | |
| Notes |
Abbreviations: RCT=randomised controlled trial; N=number; Int=intervention; Ctrl=control; mo=month(s); yr(s)=year(s); NR=not reported |
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| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Not described |
| Allocation concealment (selection bias) | Unclear risk | Not described |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding of participants and personnel not possible due to the nature of the intervention. |
| Blinding of outcome assessment (detection bias) All outcomes | High risk | Most outcomes self‐reported; blinding of participants and personnel not possible due to the nature of the intervention. |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition low, no differential attrition between groups, no differences in baseline characteristics between completers and non‐completers after accounting for multiple comparisons |
| Selective reporting (reporting bias) | High risk | No protocol or clinical trial registry is available. Numbers of participants in each group and their scores on the outcomes of interest are not presented. Study authors present only results of predicted scores based on last follow‐up. Study authors present results on the basis of control vs intervention completers and intervention non‐completers. Direct comparison of control vs the entire intervention group is not presented |
| Other bias | Low risk | Contamination not described and is unlikely |
| Recruitment to cluster | Unclear risk | Not applicable |
| Baseline imbalances | Unclear risk | Not applicable |
| Loss of clusters | Unclear risk | Not applicable |
| Incorrect analysis | Unclear risk | Not applicable |
| Compatability with individually randomised trials (herd effect) | Unclear risk | Not applicable |