Garcia 2011.
Methods | Design: RCT Conducted by the team who developed the intervention: yes |
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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 |
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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 |
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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) |
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Notes | Author contacted for methodological detail: yes (not provided) Author contacted for treatment manual: yes (not provided) Author contacted for outcome data: no |
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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 |