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

Camberg 1999.

Methods Design: three group three period cross‐over trial 
 Purpose: examine the effect of 'Simulated Presence' (SimPres) on well‐being in nursing home residents with Alzheimer's disease
Participants Patients: nursing home residents with Alzheimer's disease
Interventions Placebo: audio tape of a person reading a text that is not personal nor interactive 
 Untreated: no audio tape 
 Experimental: personalised interactive audio tape that contains a telephone conversation with a family member or surrogate. 
 (Co‐intervention: normal nursing home care)
Outcomes Mood (multidimensional observation scale for elderly) 
 Interest (multidimensional observation scale for elderly) 
 Prevalence of agitated behaviour 
 Prevalence of withdrawn behaviour 
 Agitation scale (Cohen‐Mansfield) 
 Scale for observation of agitation in persons with dementia 
 Positive affect rating scale 
 Facial diagrams of mood (FACE)
Notes Outcome not reported so that meta‐analysis is possible.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk 'Latin squares'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Unclear risk NS
Blinding? 
 Outcome assessor Low risk 'Observers were blinded to the study intervention'
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? High risk Outcome not reported so that meta‐analysis is possible.
Free of other bias? Low risk  
Trial size > 49? High risk N = 36
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Allocation not clearly concealed