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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Hanson 1976.

Methods Design: five group parallel trial 
 Purpose: examine the effect of self‐management behavioural therapy on weight loss
Participants Patients: media‐recruited obese persons 
 Baseline comparability: yes (weight)
Interventions Placebo: sessions of deep muscle relaxation therapy 
 Untreated: no sessions (waiting list) 
 Experimental: sessions with 
 ‐behavioural training with standard therapist contact 
 ‐behavioural therapy with low therapist contact 
 ‐behavioural therapy with high therapist contact 
 (Co‐intervention: antihypertensive medication, fixed ordination scheme: NS)
Outcomes Weight loss (percentage of initial body weight)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/behavioural therapy)
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? Unclear risk Not relevant (not naturally positive continuous outcomes e.g. change)
Trial size > 49? High risk N = 21
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49