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

Fremont 1987.

Methods RCT
Participants Community volunteers recruited via media
 Data on age and gender not available
 N = 61
Interventions 1. Group running (3 times a week, for 10 weeks, with a running coach in small groups of 6 ‐ 8 subjects) (n = 15)
 2. Cognitive therapy (10 individual 1 hour sessions with a therapist) (n = 16)
 3. Combined running and cognitive therapy (n = 18)
10 weeks
Outcomes Beck Depression Inventory
Notes Outcome assessment not blind
 Analysis not intention‐to‐treat
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information available
Allocation concealment (selection bias) High risk Inadequate (as assessed by Lawlor and Hopker in the 2001 BMJ review)
Blinding (performance bias and detection bias) 
 participants Unclear risk Not stated
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Not stated
Blinding (performance bias and detection bias) 
 outcome assessors High risk Self report BDI
Incomplete outcome data (attrition bias) 
 All outcomes High risk Categorised as not intention‐to‐treat for the BMJ review (Lawlor and Hopkins). Data on drop‐outs not available to lead author
Selective reporting (reporting bias) Unclear risk Protocol not available for scrutiny. From the study report, it appears that all prespecified outcome measures have been reported
Other bias Unclear risk Unclear