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

Rose 2014.

Methods Design: cluster‐RCT
Conducted by the team who developed the intervention: yes (specifically, PIR component)
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
Baseline severity of depression: CDI: 8.2 (sub‐threshold)
Mean age: 12.2
Age range: 9‐14
Percentage male: 56.0%
Setting: school
State what psychiatric diagnoses were excluded: exclusion criteria not specified
Suicide risk excluded: exclusion criteria not specified
Parents with history of schizophrenia/bipolar disorder excluded: exclusion criteria not specified
Country: Australia
Interventions Broad category: CBT (for further information on intervention components, see Table 3)
Manualised: yes
Online: no
Name of programme: RAP plus Peer Interpersonal Relatedness (PIR)
Number of sessions: 20 sessions
Length of sessions: 50 minutes
Intensity (total number of hours): 16.7 hours
Duration of treatment period: 20 weeks
Group size: 6 to 12
Delivered by: students
Fidelity: assessed as adequate
Type of comparison: AP
Outcomes Diagnosis: established from scores on the major depression subscale of the DISCAP
Name of self‐report depression measure: CDI and RADS‐2. Scores on the CDI will be extracted in preference in the present review.
Name of clinical report depression measure: N/A
Name of anxiety measure: N/A
Name of general functioning measure: N/A
Assessment points: post‐intervention and approx. 9 months (medium‐term)
Notes Author contacted for methodological detail: no
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) Unclear risk "...randomly assigned..." (p.512)
Method of randomisation not specified, however
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 Diagnostic interviews were "...administered by a senior clinical psychologist who was unaware of the experimental conditions" (p.513). However, primary outcomes are self‐reported. Assessor blinding therefore not applicable.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Proportion of participants with incomplete post‐intervention self‐reported depression scores: 1.4% (for RAP‐PIR and control groups)
Means and SDs used in meta‐analysis based on what data: hierarchical linear modelling which the authors explain "...can accommodate missing data..." (p.514)
Intention‐to‐treat analyses: N/A
Selective reporting (reporting bias) Unclear risk Protocol not available
Other bias High risk Trial conducted by those who developed the PIR intervention
Implementation integrity Low risk Implementation integrity assessed: yes
Implementation integrity adequate: yes
Implementation integrity reported: yes