Hyun 2005.
Methods | Design: RCT Conducted by the team who developed the intervention: yes |
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Participants | Description: targeted Cut‐point for inclusion for indicated studies: N/A What risk was basis of inclusion for selected studies: residing in a shelter for homeless and runaway youth Diagnostic interview to exclude those with current or previous depression: unclear whether a diagnostic interview was undertaken. Those with elevated depression scores and/or past depression were not excluded. Baseline severity of depression: BDI: 15.3 (mild) Mean age: 15.5 Age range: not specified Percentage male: 100% Setting: homeless shelter State what psychiatric diagnoses were excluded: those diagnosed with any psychiatric disorder were excluded Suicide risk excluded: unclear Parents with history of schizophrenia/bipolar disorder excluded: no Country: South Korea |
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Interventions | Broad category: CBT (for further information on intervention components, see Table 3) Manualised: unclear. Session by session information on intervention components available in the publication. Online: no Name of programme: not specified Number of sessions: 8 sessions Length of sessions: 50 minutes Intensity (total number of hours): 6.7 hours Duration of treatment period: 8 weeks Group size: 6 to 8 Delivered by: mental health experts Fidelity: not assessed Type of comparison: NT |
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Outcomes | Diagnosis: N/A Name of self‐report depression measure: BDI‐I Name of clinician report depression measure: N/A Name of anxiety measure: N/A Name of general functioning measure: N/A Assessment points: post‐intervention |
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Notes | Author contacted for methodological detail: no 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) | Unclear risk | "Research participants were randomly assigned..." (p.162) Method of randomisation not specified, however |
Allocation concealment (selection bias) | Unclear risk | No information specified |
Blinding (performance bias and detection bias) Subjects | High risk | The nature of the trial suggests it is unlikely participants could have remained blind to the fact they were allocated to a no treatment 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. 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: 15.63% Means and SDs used in meta‐analysis based on what data: observed cases 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 |