Evidence map›Paper›PMID 24499060›Full record

Trial reportBMC psychiatry2014

The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety.

Maree Teesson, Nicola C Newton, Tim Slade, Cath Chapman, Steve Allsop, Leanne Hides, Nyanda McBride, Louise Mewton, Zoe Tonks, Louise Birrell and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 62 citations in OpenAlex.

  1. TheBMJ open · 2017
    Trial
  2. Drinking to Cope: a Latent Class Analysis of Coping Motives for Alcohol Use in a Large Cohort of Adolescents.Prevention science : the official journal of the Society for Prevention Research · 2016
    Trial
  3. Trial
  4. Review
  5. A Hierarchical Model of the Symptom-Level Structure of Psychopathology in Youth.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Practitioner review: Co-design of digital mental health technologies with children and young people.Journal of child psychology and psychiatry, and allied disciplines · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Clinic Personnel, Facilitator, and Parent Perspectives of eHealth Familias Unidas in Primary Care.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Maree Teesson
Nicola C Newton
Tim Slade
Cath Chapman
Steve Allsop
Leanne Hides
Nyanda McBride
Louise Mewton
Zoe TonksNHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, 22-32 King Street, Randwick, NSW 2052, Australia. zoe.tonks@unsw.edu.au.
Louise Birrell
Louise Brownhill
Gavin Andrews
UNSW Sydney · AUCurtin University · AUNational Health and Medical Research Council · AUSt Vincent's Hospital · AUQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders and frequently co-occur. While programs for the prevention and reduction of symptoms associated with (i) substance use and (ii) mental health disorders exist, research is yet to determine if a combined approach is more effective. This paper describes the study protocol of a cluster randomised controlled trial to evaluate the effectiveness of the CLIMATE Schools Combined intervention, a universal approach to preventing substance use and mental health problems among adolescents. METHODS/

designParticipants will consist of approximately 8400 students aged 13 to 14-years-old from 84 secondary schools in New South Wales, Western Australia and Queensland, Australia. The schools will be cluster randomised to one of four groups; (i) CLIMATE Schools Combined intervention; (ii) CLIMATE Schools - Substance Use; (iii) CLIMATE Schools - Mental Health, or (iv) Control (Health and Physical Education as usual). The primary outcomes of the trial will be the uptake and harmful use of alcohol and other drugs, mental health symptomatology and anxiety, depression and substance use knowledge. Secondary outcomes include substance use related harms, self-efficacy to resist peer pressure, general disability, and truancy. The link between personality and substance use will also be examined. DISCUSSION: Compared to students who receive the universal CLIMATE Schools - Substance Use, or CLIMATE Schools - Mental Health or the Control condition (who received usual Health and Physical Education), we expect students who receive the CLIMATE Schools Combined intervention to show greater delays to the initiation of substance use, reductions in substance use and mental health symptoms, and increased substance use and mental health knowledge.

trial registrationThis trial is registered with the Australian and New Zealand Clinical Trials registry, ACTRN12613000723785.

Indexed as

InternetAdolescentAnxietyAnxiety DisordersAustraliaDepressive DisorderFemaleHumansMaleMental HealthResearch DesignSchoolsStudentsSubstance-Related Disorders

Identifiers

PMID24499060
PMCPMC3942185
OpenAlexW2165931060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.