Hensel‐Dittmann 2011.
Methods | Randomised controlled trial | |
Participants | 28 asylum seekers who had experienced war and torture | |
Interventions | Narrative Exposure Therapy (n = 15) vs Stress Innoculation Therapy (n = 13) | |
Outcomes | CAPS, HAM‐D | |
Notes | Experienced therapists delivered therapy and treatment adherence was assessed | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Subjects were randomly assigned to either NET or SIT. Participants were matched pairwise according to gender, age, and region of origin and were then allocated to NET or SIT by flipping a coin." |
Allocation concealment (selection bias) | Low risk | Comment: There is no mention of any measures taken to conceal allocation. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "Aiming at an intention‐to‐treat analysis, all subjects who were randomised were included in the outcome analysis. Much of the recent literature indicates that last‐observation‐ carried‐forward procedures may produce seriously biased results. Hence we used mixed effects models." Comment: There were 3 drop‐outs from TFCBT and 2 from non‐TFCBT. |
Selective reporting (reporting bias) | Low risk | Comment: All specified outcomes were reported. |
Other bias | Low risk | Comment: There were no other obvious sources of bias. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Comment: Participants were aware of their allocation. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote "We aimed to keep the assessors blind to the treatment conditions of the subjects; however, occasionally the treatment condition was revealed to the rater by responses from the patient." |