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. 2019 Apr 2;2019(4):CD011118. doi: 10.1002/14651858.CD011118.pub3

Rapoff 2014.

Methods RCT. 2 arms. Assessed at pretreatment and post‐treatment
Participants End of treatment: N = 22
 Start of treatment: N = 35
 Sex: 25 F, 10 M
 Mean age: 10.2 (SD 1.75)
 Source: paediatric headache clinics at 1 university and 2 children's hospitals
 Diagnosis: headache
 Mean years of pain: unknown
Interventions "Headstrong programme"
"Education"
Outcomes Primary pain outcome: none
 Primary disability outcome: Pediatric Migraine Disability Assessment
Primary depression outcome: none
Primary anxiety outcome: none
Primary satisfaction outcome: none
Measures reported:
headache diaries including frequency, intensity/severity, and duration
Pediatric Migraine Disability Assessment
Pediatric Quality of Life Inventory
Notes Funding source: National Institutes of Health (National Institute of Neurological Disorders and Stroke), R01‐NS046641 (PI: Michael Rapoff)
Declarations of interest: authors have no conflicts of interest
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "Participants were stratified by age (7–9 and 10–12) and randomly assigned following baseline to one of the two groups (education control or Headstrong)."
 Comment: probably done; description of randomisation not provided
Allocation concealment (selection bias) Unclear risk No description found in text
 Comment: probably not done
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No description found in text
 Comment: probably not done
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Measures completed at home and mailed back
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Attrition completely reported; significant differences between completers and non‐completers were not reported
Selective reporting (reporting bias) Low risk Data were fully reported