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. 2017 Jan 10;2017(1):CD010971. doi: 10.1002/14651858.CD010971.pub2

Palermo 2016.

Methods RCT with education control
Follow‐up: postintervention (8 to 10 weeks) and 6 months' follow‐up
Participants Location: USA and Canada
Setting: recruited from paediatric pain clinics
Sample size: 31 children (17 intervention, 14 control); children with headache not included in analysis
Sex: 11 boys, 20 girls
Dropouts/withdrawals: none reported
Diagnosis: chronic idiopathic abdominal pain
Mean age: intervention: 13.7 (SD 1.3; range 11 to 17) years; control 14.5 (SD 2.0; range 11 to 17) years. Data not reported for groups overall.
Interventions Intervention: Internet‐delivered cognitive behavioural child and parent intervention (non‐group format), 30 minutes/week x 8 for both child and parent (4 hours total for each)
Control: Internet‐delivered education child and parent intervention (non‐group format), 30 minutes/week x 8 for both child and parent (4 hours total for each)
Outcomes
  1. Pain intensity (0 to 10 scale)

  2. Activity limitations (Child Activity Limitations Interview; Palermo 2004)

Notes Study dates: September 2011 to April 2014
Funding: grant HD062538 from the National Institutes of Health ‐ Eunice Kennedy Schriver National Institute of Child Health and Human Development
Declarations of interest: Authors report no conflicts of interest.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Comment: computerised random number generator
Allocation concealment (selection bias) Low risk Comment: computerised random number generator linked automatically to web program
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: unsure what information participants were given with consent; it is therefore difficult to know whether they were truly 'unaware' of allocation as is suggested by author
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: unaware of intervention but self reporting outcome
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: accounted for all participants
Selective reporting (reporting bias) Low risk Comment: all variables presented
Other bias Low risk Comment: baseline variables similar, well‐reported paper