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. 2020 May 11;2020(5):CD003689. doi: 10.1002/14651858.CD003689.pub4

Wichowicz 2017.

Study characteristics
Methods Study design: parallel design
Number of arms: 2
Experimental arm: solution focused brief therapy
Control arm: no psychotherapeutic interventions
Participants Geographical location: Poland
Setting: inpatient
Stroke criteria: first ischaemic stroke
Method of stroke diagnosis: confirmed by imaging
Time since stroke: 30 days
Inclusion criteria: 1) first ischaemic stroke
Exclusion criteria: 1) extensive intellectual defects precluding verbal contact, dementia (MMSE < 23 points); 2) aphasia; 3) severe dysarthria; 4) severe paresis; 5) NIHSS scale > 21; (6) aged > 65 years
Depression criteria: depression score not an entry criteria
Total number randomised in this trial: 100
Number randomised to treatment group: 51 (% men not reported, mean age 53.3, SD 9.9)
Number randomised to control group: 49 (% men not reported, mean age 54.2, SD 9.4)
Total number included in final analysis: 62
Number included in treatment group for final analysis: 30
Number included in control group for final analysis: 32
Interventions Treatment: solution focused brief therapy
Treatment duration: 84 days
Administered by: a therapist
Supervision: not reported
Intervention fidelity: 30/51 received allocated intervention, 21/51 did not receive allocated intervention. 32/49 received control intervention, 17/49 did not receive control allocation
Control: no therapeutic interventions
Follow‐up: not reported
Outcomes Primary outcomes
  • Depression measured using the HADS

  • Anxiety measured using the HADS


Secondary outcomes
  • Disability measured using the RS

  • Activities of daily living measured using the BI

  • Impairment measured using the NIHSS

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "They were assigned by simple random allocation to one of two groups ..." pp. 1508
Comments: sequence generation was done through random number tables (according to the study author)
Allocation concealment (selection bias) Unclear risk Quote: "Allocation sequence was concealed until participation was proposed." pp. 1508
Comments: method of allocation concealment not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Comments: participants were not blinded according to the author. Personnel were not blinded according to the author
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "All assessments were conducted and interpreted by one researcher who was blinded to the group and identity of subjects." pp. 1509
Incomplete outcome data (attrition bias)
All outcomes Low risk Comments: ITT analysis reported. All participants allocated to the intervention were included in the analysis
Selective reporting (reporting bias) Unclear risk Comments: no trial protocol available to compare with the publication
Other bias Low risk Quote: "There were no significant differences in the age, education and the physical function between the groups as shown in Table 1." pp. 1509
Comments: no other bias detected