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

Hess‐Homeier 1981.

Methods RCT
Participants Community volunteers recruited via media
 Data on age and gender distribution not available
 N = 17
Interventions 1. Running or walking with the instructor for 30 minutes 4 times a week for 8 weeks (n = 5)
 2. Cognitive therapy: 1 session of 1 hour and 2 of ½ hour per week (n = 6)
 3. Waiting list control (n = 6)
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 Stated that "random assignment" was performed
Allocation concealment (selection bias) High risk Categorised as inadequate in BMJ review (Lawlor and Hopker)
Blinding (performance bias and detection bias) 
 participants Unclear risk Participants not blinded to treatment allocation
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Those delivering the intervention were not blind
Blinding (performance bias and detection bias) 
 outcome assessors High risk Self report BDI
Incomplete outcome data (attrition bias) 
 All outcomes High risk Previously categorised by Lawlor and Hopker as not intention‐to‐treat, but data on drop‐outs are not reported
Selective reporting (reporting bias) Unclear risk The BDI was listed as the first outcome measure and data on BDI were reported. The authors also mentioned the Zung Self rating Depression Scale, but data were not reported in the abstract. No protocol was available
Other bias Unclear risk Unclear