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. 2021 Oct 12;2021(10):CD006911. doi: 10.1002/14651858.CD006911.pub4

Bulfone 2009.

Study characteristics
Methods CCT
2‐arm parallel‐group design
Participants Women with breast cancer waiting for adjuvant chemotherapy
Type of cancer: breast (n = 60, 100%)
Total N randomized: 60
N randomized to music group: 30
N randomized to control group: 30
N analyzed in music group: 30
N analyzed in control group: 30
Mean age: 50.95 years
Sex: 60 (100%) females
Ethnicity: 60 (100%) white (Italian)
Setting: inpatient
Country: Italy
Interventions 2 study groups:
  1. Music group: listening to pre‐taped music themes with WalkmanⓇ and earphones while waiting for chemotherapy

  2. Control group: standard care


Music selections provided: participants were asked to select from new age music, nature music, film soundtracks, Celtic melodies, or classical music.
Number of sessions: 1
Length of sessions: 15 min
Categorized as music medicine
Outcomes Anxiety (STAI‐S): post‐test scores
Notes The principal investigator provided us with standard deviations as these were not given in the study report.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Alternate assignment using order of admission (personal communication with principal investigator)
Allocation concealment (selection bias) High risk Alternate assignment prohibited allocation concealment.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk It was unclear whether personnel were blinded; participants were not blinded.
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk The study did not address objective outcomes.
Blinding of outcome assessment (detection bias)
Subjective outcomes High risk Self‐report measures were used for subjective outcomes.
Incomplete outcome data (attrition bias)
All outcomes Low risk No attrition
Selective reporting (reporting bias) Low risk No evidence of selective reporting
Other bias Low risk No conflict of interest reported