Walker 2011.
Methods | Randomised controlled trial | |
Participants | Number of participants: 205 City and country: Seattle, Washington, USA Type of setting: Urban School setting: Alternative campus (further education training) Gender: 69% female, 31% 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 |
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Interventions | Number of adolescents allocated to each group: 103 to experimental group, 102 to control group Brief intervention: Motivational Enhancement Therapy versus information and advice‐giving Dosage: 2 sessions Type of delivery: Face‐to‐face (individual) Timing: 45 to 50 minutes |
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Outcomes | Follow‐up at 3 months and 12 months Measures: Global Appraisal of Individual Needs‐I, Marijuana Problem Inventory Primary outcomes:
Secondary outcomes:
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Notes | Funding: National Institute on Drug Abuse (RO1DA014296) Conflict of interest: Information not reported |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation was conducted using randomisation tables per school |
Allocation concealment (selection bias) | Unclear risk | Information not provided |
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 | Unclear risk | This was not clearly discussed, and it was unknown who delivered the baseline and follow‐up appointments |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Attrition levels were low (experimental group: 85% at 3 months' follow‐up, 83% at 12 months' follow‐up; control group: 80% at 3 months' follow‐up, 80% at 12 months' follow‐up), and no difference was found between groups in attrition. While no differences were found in attrition across the treatment conditions, an intention‐to‐treat analysis was still conducted |
Selective reporting (reporting bias) | Low risk | The focus of the intervention was cannabis‐related outcomes, therefore, while cannabis, alcohol, and other drug frequency and quantity measures were included to assess if there were any differences between treatment groups at baseline, only outcomes related to cannabis were provided postintervention |
Other bias | Low risk | None reported |