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. 2020 Nov 16;2020(11):CD013162. doi: 10.1002/14651858.CD013162.pub2

Olivares 2014.

Study characteristics
Methods Study design: randomised controlled trial
Number of study centres and location: 9 high schools in Spain
Study setting: schools
Participants N = 117 (CBT (expert): N = 39; CBT (inexperienced): N = 39; waitlist: N = 39)
Mean age (SD): 15.42 (0.97)
Age range: 14 to 17
Gender: 61.8% female
Inclusion criteria: generalised social phobia (based on ADIS‐C)
Exclusion criteria: depression, borderline personality disorder, narcissistic disorder, paranoid disorder, long history of substance abuse, aggressive behaviour, missing 3 consecutive treatment sessions, and have not previously received psychological treatment
Interventions CBT (expert)
Intervention: IAFS (multicomponent programme: Intervention in Adolescents with Social Phobia)
Delivery format: child only; group
Therapist contact time: 18 hours (12 x 90 minutes)
Who delivers the intervention: clinical psychologists (degree in psychology) with more than 2 years' experience treating individual cases and applying psychological treatment to groups with social anxiety
CBT (inexperienced)
Intervention: IAFS (multicomponent programme: Intervention in Adolescents with Social Phobia)
Delivery format: child only; group
Therapist contact time: 18 hours (12 x 90 minutes)
Who delivers the intervention: psychologists (degree in psychology) with no experience in applying psychological treatment
Waitlist/no treatment
Intervention: waitlist
Outcomes Remission of primary anxiety disorder diagnosis post‐treatment: ADIS‐C
Reduction in anxiety symptoms (child report) post‐treatment: SAS‐A
Reduction in anxiety symptoms (parent report) post‐treatment: SAS‐P
Notes Anxiety symptoms measures ‐ social anxiety symptoms
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Judgement Comment: No detail given
Allocation concealment (selection bias) Unclear risk Judgement Comment: No detail given
Blinding of participants and personnel (performance bias)
All outcomes Low risk Judgement Comment: Even though blinding was not possible, we judged that it was unlikely this led to a departure from the intended intervention
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Judgement Comment: Evaluators trained, and therapist competence masked, but does not specify if blind to waitlist vs treatment
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Judgement Comment: Attrition given, but only reports completer analyses. No mention of how missing item data were managed
Selective reporting (reporting bias) Low risk Judgement Comment: Outcomes reported for all measures
Other source of bias ‐ Therapy integrity Low risk Judgement Comment: Fidelity measured
Other bias Low risk Judgement Comment: The study appears to be free of other sources of bias