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. 2019 May 1;2019(5):CD004780. doi: 10.1002/14651858.CD004780.pub4

Onnis 2012.

Methods RCT
Participants Country: Italy
 Diagnostic tool: DSM‐IV‐TR
 No. screened: No detail
 No. randomised: Total: 28 (16 BN, 12 AN); SFT:14 (AN + BN; MNT:14 (AN + BN)
 No. started trial: Done
 No dropped out during intervention: Done
 No dropped out during follow‐up: Done
 No. analysed (observed case): Done
Mean age in years (SD): SFT: 18; MNT: 19.3
 Age range in years: Total: Done
 Gender %: Female 100%
 Subtype purging %: No detail
 Subtype restricting %: No detail
 Age of onset: Done
 Duration of illness: SFT: 1.8 years; MNT: 2.1 years
 Baseline weight: SFT: 39.7; MNT: 36.4
 Baseline BMI: SFT: 14.5; MNT: 14.2
 Baseline eating disorder scale score: EDI ‐ No detail
 Baseline purging: No detail
 Comorbidity: Done
 Details on living arrangements: Done
 Family education/employment/income: SFT: 1 upper‐middle, 3 middle, 2 lower‐middle SES; MNT: 1 upper‐middle, 3 middle, 2 lower‐middle
 Recruitment strategy: Recrutied from non‐hospitalised patients connected to the Service for Eating Disorders of the Department of Neuropsychiatic Sciences for Child Development
 
 Exclusion criteria: Unclear
Interventions Setting of care: Outpatient
 Training/qualification of care provider(s): No detail
 Treatment manual: No detail
 Supervision of treatment: No detail
 Adherence to treatment: No detail
 
 Intervention group 1Description: Minuchin's structural family therapy
 Length: 20 ‐ 25 sessions (over 12 months; 1 session every 2 weeks)
 
 Intervention group 2Description: Treatment as usual
Comprised Medical Nutritional Therapy and "possibly supported by psychiatric counselling" (pg. 40)
 Length: No detail
Outcomes Eating psychopathology
 EDI
EAT ‐ Data not reported
 Behavioural indices
 BMI
 Family Functioning
Unclear
Notes Mixed AN and BN sample. Based on the following quote "subdivided, with a randomisation distribution, into two homogeneous, experimental and control groups, of 14 patients each" (pg 40), we made the assumption that the 4:3 distribution (16 BN:12 AN) at inclusion was replicated in the experimental and control conditions (8 BN:6 AN per condition)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "... the patients were randomly assigned to the two experimental and control groups." No further detail.
Allocation concealment (selection bias) Unclear risk No detail
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Therapists and participants cannot be blinded in trials of family‐based therapy
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No detail
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Some separated AN and BN data reported, and some conjoint. SDs not reported
Selective reporting (reporting bias) High risk Not all measures have been reported (e.g. EAT). Unclear presentation of data.
No useable data.