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

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
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
Outcomes Follow‐up at 3 months and 12 months
Measures: Global Appraisal of Individual Needs‐I, Marijuana Problem Inventory
Primary outcomes:
  1. Frequency cannabis use

  2. Cannabis dependency symptoms

  3. Cannabis abuse symptoms


Secondary outcomes:
  1. Cannabis problems

Notes Funding: National Institute on Drug Abuse (RO1DA014296)
Conflict of interest: Information not reported
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