FOCUS Technical Brief Number 31.

Description of Figure 1: Flow of included Studies

Figure 1 is a flow chart showing the process of the database search. A series of boxes and arrows depicts the flow, starting with (1) the number of studies assessed for eligibility (N=3,200). Next (2) is the number of studies excluded after judging the study titles and abstracts (n=2,800). Following (3) the potentially relevant studies are a listing of (4) inclusion and (5) exclusion criteria, (6) the final number of studies included for meta-analysis (n=22), and (7) the number of studies dropped (n=157).

(1) The top box contains the "Number of studies assessed for eligibility (Total N=3022)." An arrow from the bottom of the box connects to a circle in the middle of the page.

(2) The box to the upper left has an arrow to the right that connects to the arrow under the top box. This box lists the criteria for "Studies excluded after judging the study titles and abstracts" (n=2,800).

• Children and/or youth under 18
• Participants are identified as substance abusers (those who smoke and/or use recreational drugs)
• No culturally adapted intervention and/or obvious control group
• No disability
• No quantitative outcomes to enable us to conduct a meta-analysis
• Cross-sectional, one subject-design, correlation, or secondary studies
• Conducts a pilot, baseline study, or an evaluation

(3) The arrow from under the top box ends at a circle in middle of page: "Potentially relevant studies identified and screened for full text retrieval."

Below this circle there are two arrows, one pointing to a box on the lower left and the other pointing to a box on the lower right.

(4) The box on lower left (below "potentially relevant studies") lists the Inclusion Criteria:

• Published in any language between 1980 and the present
• Involve participants 18 and older who have a disability
• Provide adequate explanation of the culturally-adapted competency (CC) intervention
• A rehabilitation outcome of any kind (except physiological/biological outcomes)
• Adequate data that allow us to conduct a meta-analysis
• RTCs (where the control received treatment as usual and the treatment group received a culturally adapted intervention)

(5) The box on lower right (below "potentially relevant studies") lists the Exclusion Criteria:

• Has no culturally adapted intervention and/or control group
• Uses one-group pre- and post-design or quasi-experimental design
• Data are missing or inadequate to enable meta-analysis
• Outcomes are at the level of provider or system rather than client
• Uses only biological/physiological outcomes
• Health promotion/preventative studies
• Unit of analysis is at the family, provider, organizational, or systems level
• Inadequate data are provided to calculate an effect size

(6) An arrow below the Inclusion Criteria box points to a smaller box, "Total Studies Included for Meta-Analysis: n=22."

(7) An arrow below below the Exclusion Criteria box points to a smaller box "Dropped Studies: n=157"

Back to Figure 1