Evidence map›Paper›PMID 26194791›Full record

Trial reportBMC psychiatry2015

Study protocol: a randomised controlled trial testing the effectiveness of 'Op Volle Kracht' in Dutch residential care.

Martine M Weeland, Karin S Nijhof, Ignace Vermaes, Rutger C M E Engels, Jan K Buitelaar

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Martine M WeelandBehavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, Nijmegen, HE, 6500, The Netherlands. mweeland@pluryn.nl.
Karin S NijhofBehavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, Nijmegen, HE, 6500, The Netherlands. knijhof@pluryn.nl.
Ignace VermaesBehavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, Nijmegen, HE, 6500, The Netherlands. ivermaes@pluryn.nl.
Rutger C M E EngelsBehavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, Nijmegen, HE, 6500, The Netherlands. r.engels@trimbos.nl.
Jan K BuitelaarKarakter Child and Adolescent Psychiatry, P.O. Box 68, Ede, BB, 6710, The Netherlands. j.buitelaar@karakter.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough adolescents are often referred to residential treatment centres because of severe externalizing behaviours, a vast majority demonstrated comorbid symptoms of depression and anxiety. Covert internalizing symptoms in these adolescents might be easily unrecognized and therefore untreated. Adolescents with mild intellectual disability (MID) are overrepresented among youth with both externalizing and internalizing problems. There are yet few treatment programs available for adolescents with both externalizing and internalizing problems. METHODS/

designThe CBT-based resiliency program, Op Volle Kracht (OVK), which is based on the US Penn Resiliency Program (PRP), was adapted to suit the needs of adolescents with both externalizing and internalizing problems, either with or without MID, in Dutch residential treatment centres. The effectiveness of this group intervention program of eight sessions will be tested in a randomised controlled trial (RCT) with N = 182 adolescents aged 12-16, allocated to either the target intervention plus treatment as usual (OVK + TAU) or treatment as usual only (TAU). The main outcome variables include depressive symptoms (primary), anxiety, behavioural problems, and group therapeutic climate. Cognitive styles and coping styles will be included as possible mediators. Assessments take place at baseline (T1), one week before the start of the program (T2), immediately after the program (T3), and at three months follow-up (T4). DISCUSSION: The program assets include its wide implementation possibilities due to low costs, the short duration of the program and the delivery by group care workers, and its suitability for adolescents with MID. Further strengths of the present study design include its robust method (RCT), the ecological validity, and the inclusion of possible mediators of treatment effect. The program emphasizes individual risk factors for depression rather than social and family factors. Implications for practice and future research are discussed.

trial registrationDutch Trial Register NTR4836.

Indexed as

Adaptation, PsychologicalAdolescentAnxiety DisordersChildCognitive Behavioral TherapyCounselingDepressive DisorderFemaleHumansIntellectual DisabilityMaleNetherlandsResearch DesignResidential TreatmentTreatment Outcome

Identifiers

PMID26194791
PMCPMC4509693

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Registered trials

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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.