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. 2018 Jul 5;2018(7):CD011849. doi: 10.1002/14651858.CD011849.pub2

Wang 2013a.

Methods RCT
Participants People experienced at least 1 traumatic event (most participants experienced natural disaster ‐ the 2008 Sichuan earthquake) according to DSM‐IV trauma criteria, with the latest traumatic event happening 3 to 60 months before, and most reported at least 2 PTSD symptoms on the trauma screening questionnaire. Respondents were excluded if they had insufficient reading or auditory comprehension competency in the Chinese language, insufficient Internet access time (< 360 min in 4 weeks), or acute psychotic symptoms, or if they were receiving other mental health intervention
Interventions Chinese My Trauma Recovery (CMTR) programme (urban/unsupported sample): 50 participants
Wait list (WL) (urban/unsupported sample): 44 participants
Outcomes Primary outcome: PTSD symptoms measured with the Post‐Traumatic Diagnostic Scale (PDS)
Secondary outcomes: depressive symptoms measured with Symptom Checklist 90‐Depression (SCL‐D); cognitive changes after traumatic experiences measured with Post‐Traumatic Cognitive Changes (PCC); functional impairment after trauma experiences measured by Social Functioning Impairment (SFI); and Trauma Coping Self‐Efficacy Scale (CSE) used to determine to what extent participants felt capable of coping with PTSD reactions at different assessment points
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "The participants were randomly assigned to the treatment or waiting list condition based on a computer‐generated randomisation list"
Allocation concealment (selection bias) Unclear risk No information provided
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No information is provided, but it's hard to believe that blinding of participants could have been respected in such a study design
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "Assessment had been computer‐generated on a professional Chinese survey website (equals a blinded assessment)"
Incomplete outcome data (attrition bias) 
 All outcomes High risk More than 20% of participants abandoned the study prematurely
Study endpoint: 32/50 missing from CMTR group; 37/53 missing from WL group
Selective reporting (reporting bias) Low risk All outcomes are correctly reported
Therapist qualification Unclear risk Self‐help trauma intervention programme available on Internet and translated by study authors
Treatment fidelity Unclear risk No information provided
Therapist/investigator allegiance Unclear risk The programme was translated by study authors
Other bias Unclear risk Sponsorship bias cannot be ruled out