Connolly 2013.
Methods | RCT | |
Participants | 164 adult survivors of the 1994 genocide in Rwanda, who volunteered to receive brief treatment for symptoms of trauma. All participants met the DSM‐IV criterion A1 for Post‐ Traumatic Stress Disorder symptoms Age range: 18‐100 years |
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Interventions | Thought field therapy (TFT) is a brief treatment that includes exposure to the problem and identification of feelings elicited by thinking about the problem and stimulation of selected acupoints on the surface of the skin in a sequence that is specific to identified emotions. Elements of PTSD are targeted via a trauma treatment protocol | |
Outcomes | PTSD symptoms, as measured with the Modified PTSD Symptom Scale (MPSS); other symptoms that trauma victims experience (i.e. anxiety, depression, anger/irritability, intrusive experience, etc.), as measured with the Trauma Symptom Investory (TSI) | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "A randomised controlled study (...) participants were randomly assigned to an immediate treatment group or the wait list control group" |
Allocation concealment (selection bias) | Low risk | Quote: "Clank surveys were in file folders delineated as treatment (blue folders) or wait list control group (red folders) and were stacked alternately. The intake person took the top file from the stack and assigned the participant to that group and continued with the alternating group assignments. The person handing out the folders was not aware of the implications of the different colored folders" |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No information provided |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information provided |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | The number of participants evaluated at the study endpoint is unclear |
Selective reporting (reporting bias) | Unclear risk | All outcomes listed in the "Methods" section are reported in the "Results" section, but only effect sizes were reported for study endpoint (and the number of participants evaluated at endpoint is not clear) |
Therapist qualification | Unclear risk | Quote: "The selected therapists included respected community leaders" |
Treatment fidelity | Low risk | Quote: "The trainers were available for supervision throughout the entire study, ensuring that the newly trained Rwandan therapists adhered to the standard Thought Field Therapy algorithm protocols throughout the treatment phases of the study" |
Therapist/investigator allegiance | High risk | Study authors were involved in treatment development |
Other bias | Unclear risk | No information provided |