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

Jakes 1992.

Methods Design: five group parallel trial 
 Purpose: examine the effect of auditory masking and group cognitive therapy on tinnitus
Participants Patients: out‐patients suffering from tinnitus 
 Baseline comparability: yes (outcome variables)
Interventions Placebo: auditory masking with noise at hearing threshold 
 Untreated: no masking 
 Experimental: 
 ‐auditory masking with variable noise level 
 ‐group cognitive therapy 
 ‐group cognitive therapy and auditory masking with variable noise level 
 (Co‐intervention: NS)
Outcomes Tinnitus Effects Questionnaire (insomnia, emotional distress, auditory perceptional difficulties) 
 Interference with daily activities 
 Crown Crisp Experimental Index
Notes Relevant outcome data not accessible: data lost (personal communication Jakes SC)
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible: data lost (personal communication Jakes SC)
Free of other bias? Low risk  
Trial size > 49? High risk N = 28
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49