Sethi 2010.
Methods | Design: RCT Conducted by the team who developed the intervention: no |
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Participants | Description: targeted Cut‐point for inclusion for indicated studies: not specified What risk was basis of inclusion for selected studies: mild to moderate depression according to DASS‐21 scores Diagnostic interview to exclude those with current and/or past episodes of depression: those with past episodes of depression not excluded, however, those with current depression, as indicated by extremely high scores on the DASS‐21, were excluded Baseline severity of depression: DASS‐21‐d: 18.20 (moderate) Mean age: 19.5 Age range: 18 to 23 Percentage male: 21% Setting: university State what psychiatric diagnoses were excluded: exclusion criteria not stated Suicide risk excluded: exclusion criteria not stated Parents with history of schizophrenia/bipolar disorder excluded: exclusion criteria not stated Country: Australia |
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Interventions | Broad category: CBT (for further information on intervention components, see Table 3) Manualised: N/A as MoodGYM freely available to access Online: yes Name of programme: MoodGYM Number of sessions: 3 sessions plus 2 assessment‐only sessions Length of sessions: between 20 to 40 minutes Intensity (total number of hours): up to 3.33 hours Duration of treatment period: 3 weeks Group size: N/A (individual‐based intervention) Delivered by: N/A (self‐monitoring) Fidelity: online, therefore standardised Type of comparison: NT |
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Outcomes | Diagnosis: N/A Name of self‐report depression measure: DASS‐21‐d Name of clinical report depression measure: N/A Name of anxiety measure: DASS‐21‐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: N/A as MoodGYM freely available to access 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 | No information specified |
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 non‐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 | Outcomes 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: 0% Means and SDs used in meta‐analysis based on what data: observed cases Intention‐to‐treat analyses: N/A as 0% dropouts |
Selective reporting (reporting bias) | Unclear risk | Protocol not available |
Other bias | Low risk | Trial not conducted by those who developed the intervention |
Implementation integrity | Low risk | Implementation integrity assessed: N/A (standardised) Implementation integrity adequate: N/A Implementation integrity reported: N/A |