Gattino 2011.
Methods | Allocation: balanced randomisation using a table of random numbers Blindness: assessors blinded Duration: 7 months Design: parallel group |
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Participants | Diagnosis: autism spectrum disorder N = 24 Age: range 7 to 12 years (mean 9.75 years) Sex: 24 males, 0 females Setting: hospital | |
Interventions | 1. Relational music therapy (improvisation not using a structured protocol; 3 assessment sessions, 16 intervention sessions, 1 final assessment session) in addition to standard treatment, 20 thirty‐minute sessions, scheduled weekly, n = 12 2. Standard treatment (clinical routine activities including medical examinations and consultations), n = 12 |
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Outcomes | a) Verbal communication (Childhood Autism Rating Scale, Brazilian version, CARS‐BR) b) Nonverbal communication (CARS‐BR) c) Social communication (CARS‐BR) |
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Notes | Funding sources: Fund of Incentive to Research of Porto Alegre Clinical Hospital (project no. 08006), Brazilian Research Council (CNPq) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised (computer‐generated random sequence) |
Allocation concealment (selection bias) | Low risk | Allocation was conducted by an external investigator |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | The fact that children with ASD participating in the study were not blinded was considered unlikely to introduce bias The possible risk of bias introduced by therapists administering the intervention was unknown |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Assessors were blinded to the randomisation result |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No drop‐outs No missing data reported |
Selective reporting (reporting bias) | Low risk | All outcome measures of interest were considered in the analysis |
Other bias | Low risk | Adequate music therapy method: yes Adequate music therapy training: yes |