Skip to main content
. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Ditto 2003.

Methods Design: three group parallel trial 
 Purpose: study the effect of applied muscle tension on blood donation reactions
Participants Patients: English speaking blood donors 
 Baseline comparability: yes (age, gender)
Interventions Placebo: applied muscle tension training for 2 minutes 
 Untreated: no training 
 Experimental: applied muscle tension training for 15 minutes 
 (Co‐intervention: no)
Outcomes Blood donations reactions inventory score 
 Proportion of cases in which donation chairs were reclined 
 Proportion of full blood portion donated 
 Doner's estimate of the probability of giving blood again 
 Pain 
 Anxiety 
 Heart rate 
 Blood pressure
Notes Trialists assumed that at least 5 minutes of applied muscle tension training was needed for an effect.
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/applied muscle tension)
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? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? Low risk N = 389
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS