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

Sims 2009.

Methods RCT
Participants Recruited from hospital databases of stroke patients discharged in last year, general practitioners and newspaper articles. Had to be over 6 months post‐stroke and have depression confirmed by a psychiatrist.
Mean age 67.13 (range 21 to 93)
 40% women
 N = 45
Interventions 1. Group‐based moderate‐intensity strengthening exercises twice a week for 10 weeks.The PRT programme included 2 high‐intensity sessions/week for 10 weeks at a community‐based gymnasium. (n = 23).
2. Usual care (n = 22)
Outcomes Centre for Epidemiologic Studies for Depression scale
Notes Intention‐to‐treat analysis
Outcome was self‐rated symptoms of depression by CES‐D scale
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block randomised list
Allocation concealment (selection bias) Low risk Randomisation was conducted centrally by an independent person
Blinding (performance bias and detection bias) 
 participants Unclear risk Participants not blind, unclear risk of bias
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Those delivering intervention were not blind, unclear risk of bias
Blinding (performance bias and detection bias) 
 outcome assessors High risk Self report outcome (depressive symptoms by CES‐D scale)
Incomplete outcome data (attrition bias) 
 All outcomes High risk Baseline assessment was performed in 45 people; complete data were available for 43 people at 6 months (23/23 in intervention group and 20/22 in the control)
Selective reporting (reporting bias) Unclear risk Reported all prespecified outcome (though we do not have access to the protocol)
Other bias Unclear risk Unclear