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. 2016 Aug 18;2016(8):CD010342. doi: 10.1002/14651858.CD010342.pub3

Lundberg 2011.

Methods Randomised
Data collection 2007 to 2008
Participants N = 69 final numbers but there is some discrepancy in the way this was reached depending on where you read in the text
Inclusion criteria: 60 to 75 years of age, mild‐moderate HL, to have had HA fitted at least 1 year prior to study, to have HHIE score of > 20 (indicative of residual handicap)
Interventions Intervention group received a booklet with weekly topic‐based reading instructions based on chapters of the book plus 5 x 10‐ to 15‐minute telephone calls with an audiologist to discuss the content of the book
Control group received the booklet but no instructions or telephone follow‐up
Outcomes Short‐term: HHIE (HANDICAP), HADS (PSYCHOLOGICAL IMPACT), IOI‐HA (inc USE)
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomised"
Comment: probably done but no details of exact randomisation procedure given
Allocation concealment (selection bias) Unclear risk Randomisation was carried out by someone independent of the study data collection but not clear whether concealed
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants not blinded due to the nature of the intervention
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: authors do comment that blinding the questionnaire administrators may have improved quality of the study. They recognised the potential bias
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk They did explain how many dropped out and gave reasons and those included under ITT where included on a LOCF basis
1 participant in the control group was deemed an outlier and was thereby excluded from analyses because the participant's data differed by more than 2 SD from the control group mean measured before and after the intervention. Unclear whether this is appropriate
Selective reporting (reporting bias) Unclear risk No protocol available
Other bias Low risk Authors give a good discussion of other potential sources of bias