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. 2013 Sep 12;2013(9):CD004366. doi: 10.1002/14651858.CD004366.pub6

Blumenthal 2012a.

Methods RCT
Participants 35 years or older with documented coronary artery disease and depressive symptoms (n=101)
Interventions 1. Exercise (group walking, running or jogging on treadmill (n = 37; 65% men)
2. Sertraline (n = 40; 63% men)
3. Placebo (n = 24; 83% men)
Outcomes Depression as diagnosed by DSM‐IV and severity of depression as rated on HAM‐D; heart disease biomarkers
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐based randomisation
Allocation concealment (selection bias) Low risk Allocation through distribution of sealed envelopes
Blinding (performance bias and detection bias) 
 participants Unclear risk Not possible to blind participants receiving exercise; unclear effect on bias
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk No detail given
Blinding (performance bias and detection bias) 
 outcome assessors Low risk Telephone surveys (HAMD) by psychologists blinded to arm of trial
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 95 out of 101 completed protocol and outcome assessment
Selective reporting (reporting bias) Low risk Prespecified outcomes reported in results. There is a study protocol
Other bias Unclear risk Unclear