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

Weingaertner 1971.

Methods Design: three group parallel trial 
 Purpose: examine the effect of aversive stimulation (self‐administered electric shocks) on hallucinatious schizophrenic patients
Participants Patients: schizophrenic in‐patients (men) with auditory hallucinations 
 Baseline comparability: yes
Interventions Placebo: patients equipped with a device that did not produce an electric shock and instructed to activate it when hallucinating (told that some people could not feel the shock) 
 Untreated: not equipped with a device to induce electric shock 
 Experimental: equipped with a device that did produce an electric shock and instructed to activate it when hallucinating 
 (Co‐intervention: 
 ‐medication (type and dose NS, four patients changed) 
 ‐other experimental intervention (type NS, interference deemed implausible by authors) 
 ‐group and milieu therapy (type, frequency NS))
Outcomes Brief Psychiatric Rating Scale: hallucination scale 
 Patient Data Sheet 
 Symptom checklist 
 Ward personnel comments
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/electric shock)
Incomplete outcome data addressed? 
 All outcomes High risk  
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 = 30
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49