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

Kendall 1979.

Methods Design: four group parallel trial 
 Purpose: examine the effect of cognitive‐behavioural and patient education interventions on the anxiety related to cardiac catheterization
Participants Patients: in‐patients undergoing cardiac catheterization 
 Baseline comparability: yes
Interventions Placebo: pre‐catheterization session where patients' feelings were discussed, avoiding coping skills, procedures or factual information 
 Untreated: no sessions (observational group) 
 Experimental: sessions with: 
 ‐cognitive‐behavioural training in anxiety coping strategies 
 ‐patient education: factual information on heart diseases and the procedure of cardiac catherization 
 (Co‐intervention: NS)
Outcomes Anxiety (Spielberger state trait anxiety inventory) 
 Pain 
 Anger
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/active)
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? 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 = 22
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49