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. 2016 Oct 11;2016(10):CD012371. doi: 10.1002/14651858.CD012371

Overbeek 2013.

Methods Multi‐centre cluster‐randomised controlled trial of a trauma‐focused psychoeducational intervention compared with supportive therapy in children exposed to interparental violence
Participants Included (n = 164)
Children 6 to 12 years of age who experienced psychological and/or physical interparental violence, who were referred to the programme by agencies such as the police and child protection agencies. Mean age: 9.22 years. Female: 44.5% (69). Mean length of abusive relationship: 10.87 years
Excluded
Children and parents with intellectual, psychiatric or behavioural problems that prevent participation in groups
Setting
Eight organisations in 7 cities in The Netherlands, 2009 to 2012
Interventions En nu ik! (’It’s my turn now!’) (n = 108)
Focused on how to differentiate and express emotions; increasing feelings of emotional security, learning how to cope with feelings and problems in a non‐violent way, developing a trauma narrative, improving parent/child interaction and psychoeducation, processing interparental violence experiences. Nine sessions of 90 minutes were provided for a maximum of 8 children, and 9 parallel sessions for the non‐violent custodial parent
Therapists
Therapists for parallel sessions usually included a mental health professional and a social worker who had received 1 day of training in the manualised intervention and participated in ≥ 3 peer supervision meetings. 69% of sessions were rated as having no or few deviations
Jij hoort erbij ("You belong") (n = 56)
Comparable with intervention on non‐specific factors by offering positive attention, positive expectations, recreation, distraction, warmth and empathy of the therapist, as well as social support among group participants. Also 9 sessions of 90 minutes for a maximum of 8 children, and 9 parallel sessions for the custodial parent
Therapists
Parallel sessions were provided by a mental health professional along with a mental health professional in training or a social worker. Therapists followed a manual for every session and participated in ≥ 3 peer supervision meetings. 78% of sessions were rated as having no or few deviations
Outcomes PTSD symptoms
Scale: Trauma Symptom Checklist for Young Children (TSCYC; 90‐item)
Rater: parent
Scale: Trauma Symptom Checklist for Children (TSCC; 54‐item)
Rater: children ≥ 7.5 years of age
Behaviour
Scale: CBCL (119‐item)
Rater: parent
Scale: Teacher Report Form (133‐item)
Rater: teacher
Depression
Scale: CDI (27‐item)
Rater: children ≥ 7.5 years of age
When
At 1 week and 6 months after completion of the programme
Notes Netherlands Trial register: NTR 3064
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk “An independent researcher will make the allocation schedule with a computerized random number generator”. Therapists were randomised in blocks of 3 (2:1 intervention:control)
Allocation concealment (selection bias) Low risk “Concealed random allocation”
Blinding of participants (performance bias Low risk Parents and children were blind to group allocation until 2 weeks before the start of the programme; both programmes were presented as useful
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk ‘The researchers coding the observation tasks and analyzing the data will be blind to the group condition of parents and children, as well as assessment’
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk The ‘last value carried forward will be applied’ for missing data. Loss to follow‐up: 20.1%
Selective reporting (reporting bias) Unclear risk All outcomes listed in protocol were reported
Other bias Low risk No other bias was identified