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

Sumaya 2001.

Methods Design: three group, three period, cross‐over trial 
 Purpose: examine the effect of bright light treatment on depression in institutionalised older adults
Participants Patients: institutionalised older adults with moderate to severe depression (baseline scores on the Geriatric Depression Scale 11 to 20)
Baseline comparability: not relevant
Interventions Placebo: sessions with light treatment with 300 Lux for 30 minutes per day for 1 week 
 Untreated: no light treatment 
 Experimental: light treatment with 10,000 Lux 
 (Co‐intervention: NS)
Outcomes Geriatric Depression Scale at day 5 of each treatment period
Notes The outcome data was not available from the first period only, and was calculated as deriving from a parallel group trial.
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 NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Unclear risk The outcome data from this cross‐over trial was not available from the first period only, and was calculated as deriving from a parallel group trial.
No signs of variance inequality or skewness? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? High risk N = 20
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49