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

Trautmann 2010.

Methods RCT. 3 arms. Assessed at pretreatment, post‐treatment, 6 months
Participants End of treatment: N = 55; follow‐up N = 40
 Start of treatment: N = 68
 Sex: 36 F, 30 M
 Mean age: 12.7 (SD 2.2)
 Source: newspaper adverts and websites
 Diagnosis: headache (migraine, tension type headache or combined headache)
 Mean years of pain: 2.8 (SD 3.0)
Interventions "Cognitive behavioural therapy, self‐help and management"
 "Applied relaxation group"
 "Education"
Outcomes Primary pain outcome: clinical reduction in headache frequency
 Primary disability outcome: none
Primary depression outcome: Children's Depression Inventory
Primary anxiety outcome: Pain Catastrophising Scale
Primary satisfaction outcome: none
Measures reported:
Children's Depression Inventory
 pain diary
 Children's Depression Inventory
 Pain Catastrophising Scale
 health‐related quality of life (KINDL‐R)
 Strengths and Difficulties Questionnaire
Notes Funding source: German Research Foundation (Number: KR756/16‐2)
Declarations of interest: none stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "All participants were randomly assigned to one of the three conditions. The randomly ordered list of groups was used to assign sequentially enrolled participants to two intervention groups and the active control condition." Comment: probably done
Allocation concealment (selection bias) Low risk "The first author randomly selected participants according to a computer‐generated randomisation list by using the 'select cases' random selection option."
 Comment: probably 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 Low risk Attrition is described. "Furthermore, no significant differences were found between dropouts and completers"
Selective reporting (reporting bias) Low risk Data were fully reported

CBT: cognitive behavioural therapy
 F: female
 M: male
 N: number of participants
 NRS: numerical rating scale
 JIA: juvenile idiopathic arthritis
 Ped‐MIDAS: Pediatric Migraine Disability Assessment
 RAP: recurrent abdominal pain
 RCT: randomised controlled trial
 SD: standard deviation
 TAU: treatment as usual
 Tx: treatment