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. 2021 Oct 20;2021(10):CD011723. doi: 10.1002/14651858.CD011723.pub2

Garland 2016.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: parallel group
Participants Substance: various substances
Baseline characteristics
Mindfulness‐based intervention
  • Number randomized: 64


Control 1
  • Number randomized: 64


Control 2
  • Number randomized: 52


Overall
  • Number randomized: 180


Included criteria: 18 years or older, current substance use disorder diagnosis, current psychiatric disorder diagnosis, homelessness prior to entering the therapeutic community
Excluded criteria: active psychosis, substance withdrawal
Number missing: 52
Reason missing: dropped out of therapeutic community, relapsed while in treatment
Baseline differences: no differences on average number of substance use disorder diagnoses or trauma exposure
Age: 37.6
Percent female: 0%
Race/Ethnicity: 40 to 44% White, 44 to 45% Black, 12 to 14% Other
Interventions Intervention characteristics
Mindfulness‐based intervention
  • Group name: Mindfulness‐oriented recovery enhancement

  • Theory: MORE (Garland, 2013)

  • Duration: 10 weeks

  • Timing: 1x week for 2 hours

  • Delivery: group

  • Providers: clinical social worker with mindfulness practice experience and clinical experience offering mindfulness training to persons with psychiatric disorders

  • Co‐intervention: unclear

  • Integrity: supervised by first author / developer of MORE, structured manuals with treatment implementation protocols, weekly supervision, fidelity checklist

  • Compliance: not reported


Control 1
  • Group name: Cognitive Behavior Therapy

  • Theory: Seeking Safety (Najavits, 2002)

  • Duration: 10 weeks

  • Timing: 1x week for 2 hours

  • Delivery: group

  • Providers: masters‐level clinicians with experience treating people with addiction, trauma, and psychiatric disorders

  • Co‐intervention: unclear

  • Integrity: weekly supervision, review of sessions, competence and adherence scales

  • Compliance: not reported


Control 2
  • Group name: TAU

  • Theory: Coping skills groups (Monti & Rohsenow, 1999)

  • Duration: 10 weeks

  • Timing: unclear

  • Delivery: group

  • Providers: not reported

  • Co‐intervention: unclear

  • Integrity: not reported

  • Compliance: not reported

Outcomes Penn Alcohol Craving Scale
  • Outcome type: continuous outcome

  • Reporting: fully reported

  • Direction: lower is better

  • Data value: endpoint

  • Time point: post‐treatment


Treatment acceptability (attrition)
  • Outcome type: dichotomous outcome

  • Reporting: fully reported

  • Direction: lower is better

  • Data value: endpoint

  • Time point: post‐treatment

Identification Sponsorship source: SAMHSA, NIDA
Country: USA
Setting: residential
Authors name: Eric L. Garland
Institution: University of Utah
Email: eric.garland@socwk.utah.edu
Address: 395 South, 1500 East, University of Utah, Salt Lake City, UT, 84112, USA.
COI: The first author (ELG) developed the Mindfulness‐Oriented Recovery Enhancement (MORE) intervention, and has received income from the MORE treatment manual (Garland, 2013) and therapist training.
Diagnosis tool: MINI
Diagnosis type: formal
Funding: SAMHSA, NIDA
Journal: Behaviour Therapy and Research
Publication type: published report
Secondary publications: none
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Judgement comment: used quote: "randomizer software"
Allocation concealment (selection bias) Low risk Judgement comment: randomization table created by first author and given to study coordinator
Blinding of participants and personnel (performance bias)
All outcomes High risk Judgement comment: no blinding of participants, but research assistants blinded
Blinding of outcome assessment (detection bias)
Treatment acceptability (attrition) Low risk Objective measure
Blinding of outcome assessment (detection bias)
All non‐attrition outcomes High risk Self‐report
Incomplete outcome data (attrition bias)
All outcomes Low risk Judgement comment: dropout rate and reasons similar, used ITT
Selective reporting (reporting bias) Low risk Judgement comment: no protocol but clear statement of plausible primary outcomes
Other bias: equivalence of baseline characteristics (selection bias) Unclear risk Judgement comment: no differences on some measures, but not reported for all outcomes