Winters 2012.
Methods | Randomised controlled trial | |
Participants | Number of participants: (315 including adolescents' parents who also received intervention) City and country: Minnesota, USA Type of setting: Urban School setting: Public junior/high school Gender: 48% female, 52% male Mean age: 16.3 years Inclusion criteria: Age 13 to 17, meets diagnostic criteria for 1 or more substance abuse disorders, agrees to participation with parents Exclusion criteria: referred to a treatment programme, meets diagnostic criteria for DSM‐IV substance use dependence, currently in treatment programme, reported acute psychiatric or medical problem/condition |
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Interventions | Number of adolescents allocated to each group: 136 allocated to experimental group, 56 allocated to control group (123 allocated to adolescent‐parent condition not relevant for this review) Brief intervention: Motivational interviewing style session 1: obtain information about adolescents' substance use and consequences, address willingness to change, look at goals with regards to abstinence, reduction; session 2: some focus on progress to reaching goal, barriers; parenting session: address substance use problem, parent attitudes and behaviours, monitoring and supervision, versus assessment only (control) Dosage: 2 sessions adolescents, 1 session parents Type of delivery: Face‐to‐face (individual) Timing: 1 hour per session, after school hours |
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Outcomes | Follow‐up at 6 months and 12 months (2014 study) Measures: Adolescent Diagnostic Interview, Timeline Followback, Personal Consequences Scale, Treatment Services Review Primary outcomes:
Secondary outcomes:
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Notes | Funding: National Institute on Health (DA017492, AA14866, K02‐DA15347, and P50‐DA027841) 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 | Random selection by computer random‐number generator |
Allocation concealment (selection bias) | High risk | No concealment from investigators, which could introduce selection bias |
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 | It is unclear if the outcome assessment was blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No difference in 6 months' follow‐up attrition, which was very low. The follow‐up rate for the experimental group was 98.5% and for the control group was 98.2% |
Selective reporting (reporting bias) | Low risk | All outcomes were reported |
Other bias | Low risk | None reported |
DSM‐IV: Diagnostic and Statistical Manual of Mental Disorders, 4th Edition FET: further education training