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

Straw 1991.

Study characteristics
Methods RCT
2‐arm parallel‐group design
Participants Adults with cancer receiving chemotherapy
Diagnosis: no further details provided
Total N randomized: unclear
N randomized to music group: unclear
N randomized to control group: unclear
N analyzed in music group: 9
N analyzed in control group: 10
Mean age: 49 years
Sex: 13 (27%) females, 26 (73%) males
Ethnicity: not provided
Setting: unclear if inpatient or outpatient
Country: USA
Interventions 2 study groups:
  1. Music group: listening to pre‐recorded music

  2. Control group: listening to guided imagery and relaxation tape


Music selections provided: a music tape was created by the researcher. If the participants disliked the music, they could listen to a tape of their own.
Number of sessions: participants listened to tape during chemotherapy treatments and at home. Participants were encouraged to listen to the tape each day.
Length of sessions: 30‐40 min
Categorized as music medicine
Outcomes Anxiety (STAI‐S): post‐test scores
QoL (Functional Living Index): post‐test scores
Level of control: not included in this review
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Random assignment of subjects to condition involved choosing pieces of paper from a box. Half of the pieces had 'one' written on them, and half a 'two'. In this way, subjects had an equal chance being assigned to either group".
Allocation concealment (selection bias) Low risk Not reported but we assumed that lots were drawn in the presence of the subjects.
Blinding of participants and personnel (performance bias)
All outcomes High risk Personnel and participants were not blinded.
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk This 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 Unclear risk It was unclear whether the number of participants analyszd equalled the number of participants recruited.
Selective reporting (reporting bias) Low risk No evidence of selective reporting
Other bias Low risk