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 |
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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) |
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Outcomes | Centre for Epidemiologic Studies for Depression scale | |
Notes | Intention‐to‐treat analysis Outcome was self‐rated symptoms of depression by CES‐D scale |
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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 |