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. 2013 Dec 28;2013(12):CD006577. doi: 10.1002/14651858.CD006577.pub3

Bolwerk 1990.

Study characteristics
Methods RCT
2‐arm parallel group design
Participants Adults with medical diagnosis of myocardial infarction (MI) confirmed by enzyme and ECG changes
Total N randomized: 40
N randomized to music group: 20
N randomized to control group: 20
N analyzed in music group: 17
N analyzed in control group:18
Sex: 8 (32%) women, 17 (68%) men
Ethnicity: not reported
Mean age: 58.65 years
Setting: Inpatient
Country: USA
Interventions Two study groups:
1. Music group: listening to relaxing researcher‐selected music
2. Control group standard care
Music provided: compilation tape of (a) Largo by Bach, (b) Largo by Beethoven, (c) Prelude to the afternoon of a Faun by Debussy
Number of sessions: 3 sessions on 3 consecutive days
Length of session: 22 minutes
Categorized as music medicine
Outcomes Anxiety (STAI): posttest scores after the final session
Notes Some participants stated that they didn't care for the music; 2 would have liked different music
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Control was enhanced in the study by random assignment of subjects to two groups‐experimental and control‐using a table of random numbers" (p.67)
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Blinding of the participants was not possible. Personnel were not blinded.
Blinding of outcome assessment (detection bias)
Subjective outcomes High risk Self report measures were used for subjective outcomes
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk No objective outcomes were used.
Incomplete outcome data (attrition bias)
All outcomes Low risk Attrition rate: n = 5 (12.5%)
Selective reporting (reporting bias) Unclear risk Not sufficient information available to make judgment
Other bias Low risk No report of funding