Stice 2006.
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: CES‐D ≥ 20.0 What risk was basis of inclusion for selected studies: N/A Diagnostic interview to exclude those with current or previous depression: diagnostic interview undertaken and those with current depression indicated by BDI ≥ 30.0 were excluded. Those with previous episodes of depression not excluded. Baseline severity of depression: BDI: 19.9 (mild‐moderate) Mean age: 18.4 Age range: 15 to 22 Percentage male: 30.0% Setting: school State what psychiatric diagnoses were excluded: none Suicide risk excluded: no Parents with history of schizophrenia/bipolar disorder excluded: no Country: USA |
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Interventions | Broad category: CBT (for further information on intervention components, see Table 3) Manualised: yes Online: no Name of programme: The Blues Group Number of sessions: 4 sessions Length of sessions: 60 minutes Intensity (total number of hours): 4 hours Duration of treatment period: 4 weeks Group size: 6 to 10 Delivered by: students Fidelity: not assessed Type of comparison: WL |
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Outcomes | Diagnosis: BDI ≥ 30.0 Name of self‐report depression measure: BDI 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 6 months (short‐term) |
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Notes | Author contacted for methodological detail: no Author contacted for treatment manual: yes (provided) Author contacted for outcome data: no Coding for depression severity at baseline: where baseline severity was mild to moderate as in this trial, it was rated as mild. |
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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 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 | 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: 18.0% by 6 months Means and SDs used in meta‐analysis based on what data: observed cases Intention‐to‐treat analyses: full information maximum likelihood ratio based on expectation‐maximisation algorithm |
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 |