Methods |
RCT (parallel group) |
Participants |
Psychiatric hospital inpatients
Mean age 40 (range 17 ‐ 60)
Data on sex distribution not available
N = 49 |
Interventions |
1. Aerobic exercise with instructor for 1 hour 3 times a week for 9 weeks at 50 ‐ 70% of maximum aerobic capacity (n = 28 randomised)
2. Control group attended occupational therapy whilst intervention group exercised (n = 21 randomised) |
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) |
Low risk |
Block randomisation with respect to age |
Allocation concealment (selection bias) |
Low risk |
Categorised by Lawlor and Hopker as low risk |
Blinding (performance bias and detection bias)
participants |
Unclear risk |
Participants not blind |
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 |
6 participants dropped out, leaving 43 who completed the study |
Selective reporting (reporting bias) |
Unclear risk |
Prespecified outcome measures were reported, but no protocol |
Other bias |
Unclear risk |
unclear |