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. 2016 Aug 9;2016(8):CD003380. doi: 10.1002/14651858.CD003380.pub4

Hyun 2005.

Methods Design: RCT
Conducted by the team who developed the intervention: yes
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
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
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
Notes Author contacted for methodological detail: no
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) 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