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. 2015 Aug 13;2015(8):CD010459. doi: 10.1002/14651858.CD010459.pub2

Jespersen 2012.

Methods Quasi‐randomised controlled trial
Design: 2‐arm parallel group design
Blindness: not blinded
Participants Traumatised refugees with sleep problems documented by PSQI score > 5
N: 15 (19 included; 4 dropped out)
Age: mean 37 years; range 26 to 57
Sex: 6 males; 9 females
Setting: homes of the participants
Country: Denmark
Interventions
  1. Music group (N = 9)

    1. participants listened to researcher selected music

    2. received a music player designed to be used in bed, including an ergonomic pillow

  2. Control group (N = 6)

    1. participants received an ergonomic pillow, but no music intervention


Music characteristics: MusiCure compilation 'Inducing Sleep' (Tracks 1, 2, and 5; Eje 2004). Tempo 52 bpm, stable dynamic contour and repetitive structure
Instruments: piano, harp, guitar, oboe, cello, and nature sounds (waves and birdsong)
Length of sessions: 60 minutes
Frequency of sessions: daily at bedtime
Duration of intervention period: 3 weeks
Outcomes
  • Sleep quality (PSQI)

    • mean (SD) change scores from baseline to post‐intervention

  • Trauma symptoms

    • not included in this review

  • Well‐being

    • not included in this review

Notes Trial start and end dates: the trial was conducted in 2010
Funding sources: the work was supported by Trygfonden and the Danish Ministry for Refugee, Immigration and Integration Affairs
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Used an alternation procedure based on gender
Allocation concealment (selection bias) High risk Allocation could be foreseen due to the alternation procedure
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Due to the nature of the intervention, blinding of participants was not possible. It is likely that this affected the subjective outcome measures. The intervention was used at home with no personnel involved
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding of outcome assessment
Incomplete outcome data (attrition bias) 
 All outcomes High risk 4 participants dropped out. Data from dropouts were excluded in the final analyses. No missing data
Selective reporting (reporting bias) Low risk All outcomes were reported and included in the analysis
Other bias High risk Baseline difference in sleep quality with the music group experiencing more sleep problems than the control group