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. 2018 Feb 6;2018(2):CD000459. doi: 10.1002/14651858.CD000459.pub3

3. Suggestions for design of future study.

Methods Allocation: randomised, with sequence generation and concealment of allocation clearly described
 Blindness: double, tested
 Duration: 12 months beyond end of intervention at least
 Raters: independent
Participants People with antipsychotic‐induced tardive dyskinesiaa
 Age: any
 Sex: both
 History: any
 N = 300b
Interventions 1. Antipsychotic reduction/cessation (N = 150) vs antipsychotic maintenance (N = 150)
OR
2. Specific antipsychotic (N = 150) vs other specific antipsychotic (N = 150)
Outcomes Tardive dyskinesia: any clinically important improvement in tardive dyskinesia, any improvement, deteriorationc
 Adverse effects: no clinically significant extrapyramidal adverse effects ‐ any time periodc, use of any antiparkinsonism drugs, other important adverse events
 Leaving the study early
 Service outcomes: admitted, number of admissions, length of hospitalisation, contacts with psychiatric services
 Compliance with drugs
 Economic evaluations: cost‐effectiveness, cost‐benefit
 General state: relapse, frequency and intensity of minor and major exacerbations
 Social confidence, social inclusion, social networks, or personalised quality of life: binary measure
 Distress among relatives: binary measure
 Burden on family: binary measure
Notes aThis could be diagnosed by clinical decision. If funds were permitting all participants could be screened using operational criteria, otherwise a random sample should suffice.
bSize of study with sufficient power to highlight about a 10% difference between groups for primary outcome.
 cPrimary outcome. The same applies to the measure of primary outcome as for diagnosis. Not everyone may need to have operational criteria applied if clinical impression is proved to be accurate.