Sutton 1992.
Methods |
Design: Quasi‐randomised controlled trial
Unit of randomisation: Individual family
Follow‐up: 12 to 18 months Study dates: 1984 |
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Participants |
Participants: Parents (gender not reported) of difficult preschool children Mean age of parents: Not reported Mean age of child: 2.8 (range 1 to 4.3; SD: NR) years; 25 boys and 5 girls; Mean, SD, range for intervention and control: NR Ethnicity: All children, except for 1, was White, and all parents except for 1 father was White Number randomised: 37 (allocation numbers not reported) Country & setting: UK; multi‐site; recruited from community settings; group‐based parenting training likely took place in treatment centre, though not reported Eligibility criteria: Not specified |
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Interventions | Four conditions: Group‐based parent training (with booklets from researcher); home visit parent training; telephone consultation parent training; wait‐list control Duration of intervention: 8 (1 to 2 hour) sessions over 8 weeks + boosters 2 weeks and 3 months later Therapist training: Researcher | |
Outcomes |
Emotional and behavioural problems: Child Behaviour Questionnaire, as reported by parent Externalising problems subscale ‐ hyperactivity/inattention: Home Situations Questionnaire, as reported by parent Timing of outcomes: Outcomes reported for postintervention. Follow‐up data were only reported for intervention group and not entered in the review Secondary outcomes/adverse events: No other outcomes relevant to this review specified |
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Notes |
Level of prevention: Secondary or tertiary Funding: No information provided |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | The study investigators reported that participants were sequentially (not randomly) assigned to their intervention group, and that 3 applications were allocated "out of order" due to "difficulty of access or similar reasons" |
Allocation concealment (selection bias) | High risk | Participants were aware of their group allocation |
Blinding of participants and personnel (performance bias) All outcomes | High risk |
Participants: It would not have been possible to fully blind participants in this type of study (there is an obvious difference between receiving group training, home visits or telephone consulting and being assigned to a waiting list). No indication of any specific additional measures taken to reduce the risk of bias that might result from differential behaviours by participants were found Personnel: The design of the study meant that personnel delivering the intervention were aware which groups had been assigned to the different study conditions |
Blinding of outcome assessment (detection bias) Independent observer reported outcomes | Low risk | There were no independent observer‐rated outcomes |
Blinding of outcome assessment (detection bias) Parent reported outcomes | High risk | Outcome assessments by parents were not blinded as parents were aware of the intervention condition |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Study investigators reported that 37 participants were assigned to the 4 intervention arms. 2 participants in the parent training group and 5 participants in the wait‐list group dropped out of the study; reasons for dropout were not provided. Participants placed on the waiting list were subsequently allocated to home, or telephone intervention groups and their outcome data were analysed for both intervention condition and wait‐list condition |
Selective reporting (reporting bias) | High risk | Endpoint data for wait list condition were not supplied for negative child behaviours |
Other bias | High risk | The study investigators did not report numbers of participants allocated to each intervention arm |