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

Shahidi 2011.

Methods RCT
Participants Older members of a local cultural community
Age 60 ‐ 80
100% women all with geriatric depression score greater than 10
(n = 70)
Interventions 1. 10 sessions of aerobic group exercise, each 30 minutes in duration, including jogging and stretching (n = 23)
2 "Laughter yoga" ‐ 10 sessions of structured group activity which includes laughing, clapping, chanting and positive discussion (n = 23)
3. Control (n = 24)
Outcomes Depression scoring on Geriatric Depression Scale, Life Satisfaction scale
Notes Overall drop‐out of 10 participants
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No detail given
Allocation concealment (selection bias) Unclear risk No detail given
Blinding (performance bias and detection bias) 
 participants Unclear risk Participants not blinded to intervention; unclear what effect this may have on bias
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Not blinded; unclear effect on bias
Blinding (performance bias and detection bias) 
 outcome assessors High risk Geriatric depression scale; self‐reported
Incomplete outcome data (attrition bias) 
 All outcomes High risk 14% attrition rate
Selective reporting (reporting bias) Low risk All measures listed at outset reported in results
Other bias Unclear risk Unclear