Byrd 1988.
Methods | Allocation: randomised (computer generated list). Blindness: double (participants, care‐givers and researchers blind to assignment. Duration: unclear ("for the remainder of admission" ‐ mean number of days in hospital ˜ 8, SD 8.8). Consent: given. | |
Participants | Diagnosis: congestive heart failure (129), cardiomegaly (126), acute myocardial infarction (109). N=393. Age: mean ˜ 59 years. Sex: 265M, 128F. History: just admitted to Coronary Care Unit. | |
Interventions | 1. Intercessory prayer: standard medical care + IP (by 'born again multi‐denominational Christians' outside hospital, daily by 3‐7 intercessors until discharge). N=192.
2. Standard medical care. N=201. Intercessors had no contact with their assigned patients. |
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Outcomes | Death. Clinical state: good/poor, complications. Service use: number of days in hospital, number of days in CCU, readmission to CCU. Leaving the study early. | |
Notes | Multiple complications presented. Independent collaborator (Evandro Coutinho), blinded to data, selected 'Re‐admissions to CCU' as proxy for 'Complications'. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer generated list. |
Allocation concealment (selection bias) | Unclear risk | Unclear |
Blinding (performance bias and detection bias) All outcomes | Low risk | Those rating outcomes not aware group of allocation. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Full reporting. |
Selective reporting (reporting bias) | Unclear risk | Primary outcomes clearly reported, but many secondary outcomes also emphasised in the trial's report. |
Other bias | High risk | Clear expression of prior belief in the positive effects of prayer. |