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. 2014 Jun 17;2014(6):CD004381. doi: 10.1002/14651858.CD004381.pub3

Gattino 2011.

Methods Allocation: balanced randomisation using a table of random numbers
Blindness: assessors blinded
Duration: 7 months
Design: parallel group
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
Outcomes a) Verbal communication (Childhood Autism Rating Scale, Brazilian version, CARS‐BR)
b) Nonverbal communication (CARS‐BR)
c) Social communication (CARS‐BR)
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