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

Noël 2013.

Methods Design: RCT
Conducted by the team who developed the intervention: no. However, the team were involved in adapting the intervention for this setting.
Participants Description: targeted
Cut‐point for inclusion for indicated studies: ≥ 10.0 on CES‐D
What risk was basis of inclusion for selected studies: living in a rural community
Diagnostic interview to exclude those with current or previous depression: those with current depression not excluded. Unclear whether those with past episodes of depression were excluded
Baseline severity of depression: CES‐D: 14.9 (sub‐threshold)
Mean age: 13.8
Age range: 13 to 15
Percentage male: 0.0%
Setting: school
State what psychiatric diagnoses were excluded: exclusion criteria not specified
Suicide risk excluded: yes
Parents with history of schizophrenia/bipolar disorder excluded: exclusion criteria not specified
Country: USA
Interventions Broad category: CBT (for further information on intervention components, see Table 3)
Manualised: yes
Online: no
Name of programme: Talk 'n' Time
Number of sessions: 12 sessions
Length of sessions: 90 minutes
Intensity (total number of hours): 18 hours
Duration of treatment period: 12 weeks
Group size: 8
Delivered by: non‐mental health experts
Fidelity: assessed, but unclear if assessed as adequate
Type of comparison: WL
Outcomes Diagnosis: (no useable data)
Name of self‐report depression measure: (no useable data)
Name of clinical report depression measure: (no useable data)
Name of anxiety measure: (no useable data)
Name of general functioning measure: (no useable data)
Assessment points: N/A
Notes Author contacted for methodological detail: yes (not provided)
Author contacted for treatment manual: yes (not provided)
Author contacted for outcome data: yes (not provided)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "…a random number table [was used]..." (p.11)
Allocation concealment (selection bias) Low risk "…a research assistant who did not do any of the assessments..." (p.11)
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 wait‐list 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 "...a trained interviewer [undertook assessments]..." (p.11)
Unclear whether this interviewer was blind to treatment allocation, however
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Proportion of participants with incomplete post‐intervention self‐reported depression scores: the authors state that "[a]pproximately 8 percent of participants dropped out before providing complete data..." (p.1)
Means and SDs used in meta‐analysis based on what data: unclear
Intention‐to‐treat analyses: possibly LOCF
Selective reporting (reporting bias) High risk Protocol not available. However, follow‐up data are not reported.
Other bias Unclear risk Trial not conducted by those who developed the intervention. However, intervention was adapted by the author for this setting.
Implementation integrity Unclear risk Implementation integrity assessed: yes
Implementation integrity adequate: no reported
Implementation integrity reported: N/A