Kadden 2007.
Methods | RCT (dismantling design). | |
Participants | 240 adult marijuana smokers meeting DSM‐IV criteria for cannabis dependence. USA. | |
Interventions | 9 weeks of one of four conditions: 1. case management control condition (n= 62) 2. MET/CBT coping skills training (n= 61) 3. contingency management (n= 54) 4. MET/CBT + Contingency management (n= 63). |
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Outcomes |
Physiological primary: None. Non‐physiological primary: Total 90‐day continuous abstinence. Proportion of days abstinent. Secondary: Readiness to change (Readiness to Change Questionnaire). Follow‐up was at 2 months posttreatment. |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computerized urn randomisation. |
Allocation concealment (selection bias) | Unclear risk | Insufficient information to permit judgement. |
Blinding (performance bias and detection bias) Patients and providers | Unclear risk | No blinding but the outcome measurements are not likely to be influenced by lack of blinding due to validation with physiological measurement. |
Blinding (performance bias and detection bias) Assessors | Unclear risk | Insufficient information to tell if assessor was blinded, but the outcome measurements are not likely to be influenced by lack of blinding due to validation with physiological measurement. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 17% lost to follow‐up with reasons stated. Different attrition across groups. No ITT. |
Selective reporting (reporting bias) | Low risk | The published report included all expected outcomes based on the study purposes. |
Other bias | Low risk | Urine samples were collected to check on self‐report. There were no differences between groups at baseline. No additional sources of bias appear to be present. |