Goodrich 2001.
Methods | Method of allocation: Randomisation was not used but the order of presentation of the devices was rotated for consecutive participants (quasi-random assignment). Masking: Participant - masking issues are not described but the study was likely to be unmasked given the use of recognisable devices. Provider - same as above; Outcome - same as above Exclusions after randomisation: none reported. Losses to follow-up: none reported. Unusual study design: Within-subject design, i.e. a cross-over study in which all participants try the devices consecutively |
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Participants | Country: USA Number randomised: 22 veterans enrolled in the residential rehabilitation programme of the Western Blind Rehabilitation Center (none with previous reading training). Age: mean 73 (range: 53 - 87) years Sex: 20 men, 2 women. Inclusion criteria: (1) legal blindness; (2) central scotoma with a intact peripheral field; (3) stated desire for reading rehabilitation. Exclusion criteria: (1) cognitive deficits or current use of medication that would impair reading ability; (2) illiteracy |
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Interventions | 5 days “hands-on” training with each of the 3 types of devices (the prescribed optical device considered as control). Eccentric viewing training preceded reading training. Treatment: stand-mounted CCTV, hand-held CCTV using a 27-inch television. Control: prescribed optical device (stand magnifier n = 19; microscopic lenses n = 3). Duration: 15 training sessions plus sessions needed for evaluation |
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Outcomes | Reading speed using paragraphs of 250 words in Times New Roman (1 M font) with 5th-grade difficulty reading comprehension assessed with 5 question for each paragraph; Reading duration during each training session; Participants' preferences for a specific device with forced and open-ended questions | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quasi-randomised study: the order of presentation of the devices was rotated for consecutive participants; despite this, selection bias should be avoided since all participants used all devices (cross-over nature of the study design) |
Allocation concealment (selection bias) | Low risk | Order of randomisation can be foreseen because rotation was used; despite this, selection bias should be avoided since all participants used all devices (cross-over nature of the study design) |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No loss to follow-up or exclusion after randomisation reported |
Selective reporting (reporting bias) | Low risk | No protocol available, but primary outcome reported |
Period effect | Unclear risk | No details reported |
Carry-over effect and period-by-treatment interaction | Unclear risk | No details reported |
Other bias | Low risk | No other bias identified |