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

Thoren 2014.

Methods Randomised
Participants N = 76 (38 in each group)
Age range: 26 to 81 years
Gender: 32 women, 44 men
Inclusion criteria: 1 year + HA use, over 18 years of age, significant hearing impairment and significant communication difficulties
Interventions Online rehabilitation for hearing aid users including self‐study, training and professional coaching in hearing physiology, hearing aids and communication strategies, as well as online contact with peers across 5 weekly modules. The intervention group was compared to a waiting list control group
Outcomes Short‐term: immediately following intervention, IOI‐HA, HHEI and HADS
Medium‐term: at 3 months measures repeated
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "The participants were randomized by an independent person (not involved in the study or recruitment) to either participate in the intervention group or in the control group."
Comment: insufficient information about the sequence generation process in study
Allocation concealment (selection bias) Low risk Comment: the use of an independent person performing the randomisation is suggestive of allocation concealment
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Missing outcome data balanced in numbers across intervention groups; it was explained and due to attrition. Missing data were imputed using appropriate methods.
Selective reporting (reporting bias) Unclear risk No protocol available
Other bias Unclear risk Quote: "Of the participants, 75% had completed education at university level."
Comment: study appears to have a risk of recruitment bias