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

Witkiewitz 2014.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: parallel group
Participants Substance: various substances
Baseline characteristics
Mindfulness‐based intervention
  • Number randomized: 55


Relapse prevention
  • Number randomized: 50


Overall
  • Number randomized: 105


Included criteria: residency at the treatment center, proficiency in the English language, willingness to be randomized to treatment condition, and sufficient self‐reported cognitive ability to understand and provide consent
Excluded criteria: none
Number missing: 34
Reason missing: switched groups before starting treatment, opted out of study, left center, failed to respond
Baseline differences: none
Age: 34.0
Percent female: 100 %
Race/Ethnicity: 34.5% to 51.0% white, 10.2% to 12.7% African American, 7.3% to 10.2% Native American, 2% to 3.6% Asian, 0% to 1.8% Hispanic/Latinx
Interventions Intervention characteristics
Mindfulness‐based intervention
  • Group name: Mindfulness‐based relapse prevention

  • Theory: Mindfulness‐based relapse prevention (Bowen et al., 2010)

  • Duration: 8 weeks

  • Timing: Twice per week for 50 minutes

  • Delivery: group

  • Providers: master's level clinician employed by treatment program and trained in MBRP and MBSR

  • Co‐intervention: residential treatment‐as‐usual

  • Integrity: not reported

  • Compliance: not reported


Control 1
  • Group name: Relapse prevention

  • Theory: Daley and Marlatt (2006), Coping Skills Training Guide (Monti et al., 2002)

  • Duration: 8 weeks

  • Timing: twice per week for 50 minutes

  • Delivery: group

  • Providers: master's level clinician employed by treatment center trained in RP

  • Co‐intervention: residential treatment‐as‐usual

  • Integrity: not reported

  • Compliance: not reported

Outcomes Drug use days
  • 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: Washington State University Vancouver grant
Country: USA
Setting: residential
Authors name: Katie Witkiewitz
Institution: University of New Mexico
Email: katiew@unm.edu
Address: Dr Katie Witkiewitz, PhD, Department of Psychology, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, 2650 Yale Blvd SE, Albuquerque, NM, USA
COI: none
Diagnosis tool: receiving residential treatment
Diagnosis type: informal
Funding: Washington State University Vancouver grant
Journal: Substance Use & Misuse
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: quote: "random number generator"
Allocation concealment (selection bias) Unclear risk Judgement comment: not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Judgement comment: no blinding
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: reasons for dropout and amount of dropout similar across groups
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) Low risk Judgement comment: no baseline differences