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

Frankel 1978.

Methods Design: three group parallel trial 
 Purpose: examine the effect of biofeedback on arterial hypertension
Participants Patients: out‐patients with essential arterial hypertension 
 Baseline comparability: yes
Interventions Placebo: sessions of discussions of past and present problems with no behavioural techniques taught 
 Untreated: no sessions 
 Experimental: training sessions for behavioural techniques 
 (Co‐intervention: NS)
Outcomes Diastolic blood pressure (mm Hg) 
 Multiple personality, depression and activity tests
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk 'random number table'
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/biofeedback)
Blinding? 
 Outcome assessor Low risk '... nurses (who was blind to the patient's experimental status)...'
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? 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 = 15
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49