Young 2010a.
Methods | Design: RCT Conducted by the team who developed the intervention: unclear |
|
Participants | Description: targeted Cut‐point for inclusion for indicated studies: CES‐D ≥ 16.0 What risk was basis of inclusion for selected studies: N/A Diagnostic interview to exclude those with current or previous depression: those who met diagnostic criteria for depression were excluded. Unclear whether those with past episodes of depression were also excluded. Baseline severity of depression: CES‐D: 15.2 (subthreshold) Mean age: 14.5 Age range: 11 to 17 Percentage male: 40.3% Setting: school State what psychiatric diagnoses were excluded: panic disorder, obsessive‐compulsive disorder, post‐traumatic stress disorder, conduct disorder, oppositional defiance disorder, bipolar disorder, psychosis and ADHD (untreated) Suicide risk excluded: yes Parents with history of schizophrenia/bipolar disorder excluded: no Country: USA |
|
Interventions | Broad category: IPT (for further information on intervention components, see Table 3) Manualised: unclear Online: no Name of programme: Interpersonal Psychotherapy‐Adolescent Skills Training Number of sessions: 8 sessions Length of sessions: 90 minutes Intensity (total number of hours): 12 hours Duration of treatment period: unclear Group size: 4 to 6 Delivered by: mental health experts Fidelity: assessed but unclear if assessed as adequate Type of comparison: TAU comprising referral to school counsellors and/or social worker as required |
|
Outcomes | Diagnosis: K‐SADS Name of self‐report depression measure: CES‐D Name of clinical report depression measure: N/A Name of anxiety measure: N/A Name of general functioning measure: CGAS Assessment points: post‐intervention, 12 months (medium‐term) and 18 months (long‐term) |
|
Notes | Author contacted for methodological detail: no Author contacted for treatment manual: no Author contacted for outcome data: yes (provided) |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "...table of random numbers..." (p.428) |
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 | "The evaluations were conducted by independent evaluators..." (p.429) Primary outcomes, however, were 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: 2.8% Means and SDs used in meta‐analysis based on what data: observed cases Intention‐to‐treat analyses: using hierarchical linear modelling and LOCF |
Selective reporting (reporting bias) | Unclear risk | Protocol not available |
Other bias | Unclear risk | No information specified |
Implementation integrity | Unclear risk | Implementation integrity assessed: yes Implementation integrity adequate: N/A Implementation integrity reported: N/A |