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

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
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
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:
  1. Frequency alcohol use

  2. Frequency alcohol binge use

  3. Frequency drug use

  4. Cannabis dependence symptoms

  5. Cannabis abuse symptoms


Secondary outcomes:
  1. Personal Consequences Scale

Notes Funding: National Institute on Health (DA017492, AA14866, K02‐DA15347, and P50‐DA027841)
Conflict of interest: Information not reported
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