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. 2017 Jul 7;2017(7):CD006396. doi: 10.1002/14651858.CD006396.pub4

Park 1991a instructions.

Methods RCT
Participants Various workers
 n = 40
 USA
 Several companies
Interventions Intervention: fitting instructions for earplugs and earmuffs in step‐by‐step procedure; n = 20
 Control: instructions on paper as provided by the manufacturer n = 20
Outcomes Hearing thresholds with and without protection at 0.5, 1, 2, 3, 4, 6, 8 kHz
Notes Immediate
Risk of bias
Bias Authors' judgement Support for judgement
14. Blinding (subjects) High risk no blinding
15. Blinding (outcome assessors) High risk no blinding
16. Retrospective unplanned subgroup analyses Low risk no additional analyses
17. Follow‐up Low risk all 3 weeks
18. Statistical tests Low risk ANOVA
19. Compliance Low risk wearing of HPD checked
20. Outcome measures Low risk audiometry quality reported
21. Selection bias (population) Low risk same population
22. Selection bias (time) Low risk same time
23. Randomization Low risk subjects were randomly assigned
24. Allocation concealment Unclear risk not reported, not applicable
25. Adjustment for confounding Unclear risk not reported
26. Incomplete outcome data Low risk no loss