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. 2019 Dec 3;2019(12):CD012459. doi: 10.1002/14651858.CD012459.pub2

Dihigo 1998.

Methods Study design: randomised controlled trial of parental counselling to modify the parent‒infant interaction vs empathy and support only
Location: USA
Setting: recruitment occurred in paediatrician offices in Dallas/Fort Worth Metroplex
Participants Sample size: 14 infants
 Number of dropouts/withdrawals: 0 infants
 Mean age: intervention group = 6.31 weeks (SD = 2.36), control group = 6.25 weeks (SD = 3.37)
Inclusion criteria:
  1. less than 3 months of age

  2. normal history of growth and development

  3. normal physical examination

  4. no history of vomiting or diarrhoea

  5. experienced symptoms associated with colic as determined by the infant's paediatrician


Exclusion criteria: none stated
Interventions Intervention group (n = 8): received individualised parental counselling, flow charts, and handouts to teach the parent of the colicky infant how to respond quickly and appropriately to their infant's cues
 Control group (n = 6): received empathy and support from the researcher
 Duration of intervention: 6 days
Outcomes Primary outcome: crying time. Data were collected in parental diaries.
  1. Intervention group: crying time at baseline = 3.79 hours per day; crying time at post‐test = 1.12 hours per day. P value < 0.05

  2. Control group: crying time at baseline = 3.08 hours per day; crying time at post‐test = 3.25 hours per day. P value < 0.05


Secondary outcome: infant sleep, measured by qualitative data recorded in parental diaries. Parents in the intervention group suggested their infants were sleeping more than before.
Notes Study start date: not stated
 Study end date: not stated
 Declared DOI: none stated
 Perceived DOI: none perceived
 Funding source: none stated
Other comments: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: study states participants randomly assigned but method of randomisation not described
Allocation concealment (selection bias) Unclear risk Comment: method not described
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: participants and researcher both aware of interventions received
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: parents of infants recorded crying times in diaries and were aware of intervention received
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no withdrawals or losses to follow‐up
Selective reporting (reporting bias) Low risk Comment: study appears free of selective reporting
Other bias Low risk Comment: none noted