Weizman 1993.
Methods | Randomised, double‐blind, placebo‐controlled trial | |
Participants |
Sample size: 72 infants (36 herbal tea, 36 placebo) were enrolled in the study. 4 infants were excluded during the study: 3 for acute illness (2 from tea arm, 1 from placebo arm), and 1 because of poor parental compliance. 68 were included in the analysis. Setting: primary community‐based paediatric clinics in the Beer‐Sheva area, in Israel Sex: boys (38% of 68) Mean age: herbal tea 21.1 (SD 9.3) days, placebo 24.6 (SD 7.6) days; range not reported Mean weight: herbal tea 3116 (SD 1060) grams, placebo 3201 (SD 1088) grams Mean duration of colic: not reported Mean crying: not reported Feeding: breast fed (herbal tea 72%, placebo 67%) Birth order: first child (herbal tea 59%, placebo 66%) Inclusion criteria: infants with colic according to Wessel definition Exclusion criteria:
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Interventions |
Intervention (33 infants): herbal tea preparation (Calma Baby Bonomelli) containing fennel, chamomile, vervain, licorice, balm mint Control (35 infants): placebo. The placebo preparation consisted of an instant powder of glucose and natural flowers only, with no herbs. The smell and taste of the placebo and the tea were similar. Administration: Tea was offered to infants with every episode of colic, up to 150 mL/dose, but no more than 3 times a day. Tea powder was dissolved in water according to the manufacturer's instructions. Treatment was administered for 1 week. No significant differences were noted between 2 treatment arms. |
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Outcomes | Evaluation of the 2 groups was based on the following 3 measures:
Families received a diary in which to record total daily hours of colic, numbers of night awakenings, a 5‐grade improvement score and adverse effects. Parental diaries covered 7 days with no therapy and 7 days with treatment. |
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Notes |
Country: Israel Funding source: This study was supported by Materna Laboratories, Maabarot, Israel. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk |
Quote: "infants were randomly assigned to receive either tea or placebo". Comment: Information was insufficient. |
Allocation concealment (selection bias) | Low risk | Comment: During the entire study, the code determining group allocation was known only to the pharmacists. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "The smell and taste of the placebo and the tea were similar; both were packed in identical appearing cans; the code of group allocation was known only by the pharmacist". |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "The code was known only by the pharmacist". |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: 4 infants were excluded during the study: 3 (2 tea and 1 placebo) because of acute illness, and 1 (tea) because of poor parental compliance. Study authors excluded these infants from the analyses because of exclusion criteria. |
Selective reporting (reporting bias) | Low risk | Comment: Study authors reported study results for all outcomes. |
Other bias | Low risk | Comment: Analysis of infant characteristics (gender, age, feeding method) and colic severity after 7 days of no‐treatment revealed no significant differences between the 2 groups. |
CHC: child health centre. SD: standard deviation.