Woods 2011.
Methods | Design: RCT Conducted by the team who developed the intervention: no. However, the team were involved in adapting the intervention for this setting. |
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Participants | Description: targeted Cut‐point for inclusion for indicated studies: CDI ≥ 63.0 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: 24.5 (moderate) Mean age: 14.0 Age range: not specified Percentage male: not specified 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: New Zealand |
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Interventions | Broad category: CBT (for further information on intervention components, see Table 3) Manualised: yes Online: no Name of programme: ACE‐Kiwi Number of sessions: 8 sessions Length of sessions: 90 minutes Intensity (total number of hours): 12 hours Duration of treatment period: 8 weeks Group size: 8 to 12 Delivered by: mental health experts Fidelity: unclear if assessed Type of comparison: TAU comprising ongoing counselling with the school counsellor and/or referral to mental health services as required |
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Outcomes | Diagnosis: N/A Name of self‐report depression measure: CDI 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, 2 months (short‐term), 12 months (medium‐term) |
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Notes | Author contacted for methodological detail: yes (provided) Author contacted for treatment manual: yes (provided) Author contacted for outcome data: yes (provided) |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "...computer‐generated random assignment..." (p.43) |
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 been blind to the fact they were allocated to treatment as usual. 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: 57.0% 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 | 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: unclear if assessed Implementation integrity adequate: N/A Implementation integrity reported: N/A |