Skip to main content
. 2016 Aug 9;2016(8):CD003380. doi: 10.1002/14651858.CD003380.pub4

Garcia 2011.

Methods Design: RCT
Conducted by the team who developed the intervention: yes
Participants Description: universal
Cut‐point for inclusion for indicated studies: N/A
What risk was basis of inclusion for selected studies: N/A
Diagnostic interview to exclude those with current or previous depression: not undertaken. Reported that 5.1% of participants had experienced a previous mental health condition.
Baseline severity of depression: DASS‐d: 10.9 (mild)
 
Mean age: 14.8
Age range: 14 to 16
Percentage male: 0.0%
Setting: school
 
State what psychiatric diagnoses were excluded: none
Suicide risk excluded: no
Parents with history of schizophrenia/bipolar disorder excluded: no
 
Country: Mexico
Interventions Broad category: third wave (for further information on intervention components, see Table 3)
Manualised: yes
Online: no
Name of programme: Project Wings
Number of sessions: 16 sessions
Length of sessions: 3 hours
Intensity (total number of hours): 48 hours
Duration of treatment period: 16 weeks plus booster sessions at 3 and 7 months
Group size: unclear
Delivered by: mental health workers (youth workers)
Fidelity: not assessed
Type of comparison: AP
Outcomes Diagnosis: N/A
Name of self‐report depression measure: DASS‐d
Name of clinical report depression measure: N/A
Name of anxiety measure: DASS‐a
Name of general functioning measure: N/A
Assessment points: post‐intervention, 3 months (short‐term), 9 months (medium‐term)
Notes Author contacted for methodological detail: yes (not provided)
Author contacted for treatment manual: yes (not provided)
Author contacted for outcome data: no
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "A computerised permuted block randomisation schedule was created..." (p.439)
Allocation concealment (selection bias) Unclear risk No information specified
Blinding (performance bias and detection bias) 
 Subjects Low risk The nature of the trial suggests it is likely participants could have remained blind to the fact they were allocated to a placebo control group. However, without access to the participant information sheets and PLS, level of blinding cannot be ascertained.
Blinding (performance bias and detection bias) 
 Assessors Unclear risk All outcomes self‐reported and there is no report of blinding. Assessor blinding therefore not applicable.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Proportion of participants with incomplete post‐intervention self‐reported depression scores: 14.30%
Means and SDs used in meta‐analysis based on what data: observed cases (those with at least 2 post‐intervention assessments)
Intention‐to‐treat analyses: not undertaken
Selective reporting (reporting bias) Unclear risk Protocol not available
Other bias High risk Trial conducted by those who developed the intervention
Implementation integrity Unclear risk Implementation integrity assessed: unclear if assessed
Implementation integrity adequate: N/A
Implementation integrity reported: N/A