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Study Title and Description

Adolescent outpatient treatment and continuing care: main findings from a randomized clinical trial.



Key Questions Addressed
1 Evidence map
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Primary Publication Information
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TitleData
Title Adolescent outpatient treatment and continuing care: main findings from a randomized clinical trial.
Author Godley SH., Garner BR., Passetti LL., Funk RR., Dennis ML., Godley MD.
Country Chestnut Health Systems, Lighthouse Institute, 448 Wylie Drive, Normal, IL 61761, USA. sgodley@chestnut.org
Year 2010
Numbers Pubmed ID: 20219293

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: Evidence Map
Arms
Number Title Description Comments
1 TAU Chestnut’s Bloomington Outpatient Treatment
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2 CBT_ICM Chestnut’s Bloomington Outpatient Treatment + assertive continuing care
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3 CBT_MI Motivational Enhancement Therapy/Cognitive Behavior Therapy-7 session model (MET/CBT7)
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4 CBT_MI_ICM Motivational Enhancement Therapy/Cognitive Behavior Therapy-7 session model + Assertive Continuing Care (MET/CBT7 + ACC)
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Design Details
Question... Follow Up Answer Follow-up Answer
Should this citation be included? Yes
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Does this paper originate from a primary study of interest? No
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Ages eligible (in years) 12
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18
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Total sample size (in all arms) 320
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Age distribution of enrolled population (in years) NA
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Substance used Alcohol
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Cannabis
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Opioid
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Interventions studied? Behavioral
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Outcome? Self report of use/abstinence and/or intensity
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Other ... cost effectiveness
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Age variation of enrolled population (in years) NA
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Study type RCT
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Is any arm a brief intervention (or single session)? No
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Income level of country(ies) of origin ... Country(ies) name(s) Unclear ... United States
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Results & Comparisons


Results Data
Outcome: pct abstinent for alcohol      Population: All Participants
Time Point Measure TAU CBT_ICM CBT_MI CBT_MI_ICM


0 months

Percentage 93.3 96.2 96 95.5
N Analyzed 80 80 79 81


3 months

Percentage 95.4 96.3 95.7 96
N Analyzed 80 80 79 81


6 months

Percentage 95.6 95.9 95 95.9
N Analyzed 80 80 79 81


9 months

Percentage 94.7 96.2 94.9 93.5
N Analyzed 80 80 79 81


12 months

Percentage 94 94 95.1 93.4
N Analyzed 80 80 79 81
Outcome: pct abstinent for nos      Population: All Participants
Time Point Measure TAU CBT_ICM CBT_MI CBT_MI_ICM


0 months

Percentage 69.6 74.4 78.1 75.6
N Analyzed 80 80 79 81


3 months

Percentage 76.4 86.3 85.4 87.9
N Analyzed 80 80 79 81


6 months

Percentage 84.5 88.9 80 81.6
N Analyzed 80 80 79 81


9 months

Percentage 79 89.2 83.5 78.6
N Analyzed 80 80 79 81


12 months

Percentage 78 81.8 85 79.3
N Analyzed 80 80 79 81


Quality Dimensions
Dimension Value Notes Comments
Intention-to-treat-analysis: Bias due to incomplete reporting and analysis according to group allocation Yes
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Group similarity at baseline (selection bias): Selection bias due to dissimilarity at baseline for the most important prognostic indicators Yes Included in core analysis.
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Co-interventions (performance bias): Performance bias because co-interventions were different across groups Yes no diff
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Compliance (performance bias): Performance bias due to inappropriate compliance with interventions across groups No Data Unclear if different across arms
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Timing of outcome assessments (detection bias): Detection bias because important outcomes were not measured at the same time across groups Yes no diff
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Additional Bias: Bias due to problems not covered elsewhere in the table. If yes, describe them in the Notes.
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Random sequence generation (selection bias): Selection bias (biased allocation to interventions) due to inadequate generation of a randomized sequence Low
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Allocation concealment (selection bias): Selection bias (biased allocation to interventions) due to inadequate concealment of allocations prior to assignment High project manager (but open list and alternating)
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Blinding of participants (performance bias): Performance bias due to knowledge of the allocated interventions by participants during the study High not possible
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Blinding of personnel/ care providers (performance bias): Performance bias due to knowledge of the allocated interventions by personnel/care providers during the study. High not possible
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Blinding of outcome assessor (detection bias): Detection bias due to knowledge of the allocated interventions by outcome assessors. Low
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Incomplete outcome data (attrition bias): Attrition bias due to amount, nature or handling of incomplete outcome data Low
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Selective Reporting (reporting bias): Reporting bias due to selective outcome reporting
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Quality Rating
Guideline Used Overall Rating