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. 2016 Jan 20;2016(1):CD008969. doi: 10.1002/14651858.CD008969.pub3

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:
  1. Frequency cannabis use

  2. Quantity cannabis use

  3. Cannabis use mean dependence score

  4. Frequency alcohol use

  5. Quantity alcohol use

  6. Alcohol use mean dependence score

  7. Frequency alcohol use

  8. Quantity alcohol use

  9. Alcohol use mean dependence score

  10. Quantity methamphetamine tablets used


Secondary outcomes:
  1. Cannabis‐Interactional Problems score

  2. Cannabis Problems score

  3. Alcohol‐Interactional Problems score

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