McCambridge 2004.
Methods | Cluster‐randomised controlled trial | |
Participants | Number of participants: 179 City and country: London, England Type of setting: Urban School setting: Alternative campus (further education training) Gender: 46% female, 54% male Mean age: 18.0 years Inclusion criteria: 16 or older, attending FET, weekly or more use of cannabis Exclusion criteria: Younger than 16, older than 19; less than weekly use cannabis; literacy (low levels); not English speaking |
|
Interventions | Number of adolescents allocated to each group: 97 allocated to experimental condition, 82 allocated to control condition Brief intervention: Motivational intervention versus information and advice‐giving Dosage: 1 session Type of delivery: Face‐to‐face (individual) Timing: 1 hour |
|
Outcomes | Follow‐up at 3 months and 12 months (2005 study) Measures: Severity of Dependence Scale, The Drug Attitudes Scale Primary outcomes:
Secondary outcomes:
|
|
Notes | Only alcohol, cannabis frequency outcomes were measured at 12 months' follow‐up Funding: Action on Addiction for 12 12 months' follow‐up assessments. Conflict of interest: Information not reported |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation was non‐computerised and consisted of a colleague not involved in the study allocating clusters randomly to either the intervention or control condition. Stratification by college was applied in order to control for local variations in drug use |
Allocation concealment (selection bias) | Low risk | Complete concealment was mentioned by the authors |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding is not possible for the type of intervention |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | As 1 interventionist was the study principal investigator, a second independent interviewer who was blind to study condition was employed to conduct 3 months' follow‐ups, and an additional interviewer who was blind to initial group allocation was employed for 12 months' follow‐ups |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition analyses conducted, and no difference was found between groups. Various factors associated with attrition in both groups were identified and controlled for in the analysis. In addition, follow‐up rates were provided for 3 months' follow‐up (experimental group: 92.4%; control group: 86.3%) and 12 months' follow‐up (experimental group: 80%; control group: 82%) |
Selective reporting (reporting bias) | High risk | All outcomes discussed and reported on at 3 months' follow‐up, although at 12 months' follow‐up there was some unplanned deterioration of the intervention effect, so certain outcomes were not reported on |
Other bias | Low risk | No other sources of bias identified |