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Non-pharmacological interventions for caregivers ... - Update Software

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Hartke 2003 (Continued)<br />

Dose/frequency/timing of intervention: 8 x 1-hour sessions<br />

Intervention length: not applicable<br />

Co-<strong>interventions</strong>: not applicable<br />

Title: control condition<br />

Characteristics: a publication on stress management and a brief description of <strong>caregivers</strong>’<br />

stress and stroke<br />

First comparator provided by: not applicable<br />

First comparator delivered: not applicable<br />

Dose/frequency/timing of first comparator: not applicable<br />

Outcomes Outcome measures: CES-D; UCLA Loneliness Scale; the Caregiver Competence Scale;<br />

BI; the Pressing Problem Index<br />

Timing of assessment: immediately after support group; and 6 months after enrolling in<br />

study<br />

Notes<br />

Risk of bias<br />

Bias Authors’ judgement Support <strong>for</strong> judgement<br />

Random sequence generation (selection<br />

bias)<br />

Unclear risk “Participants were then randomly assigned to a usual care or<br />

telephone support group condition and were followed-up <strong>for</strong> 6<br />

months to test the enduring effects of the intervention.”<br />

Allocation concealment (selection bias) Unclear risk “Participants were then randomly assigned to a usual care or<br />

telephone support group condition and were followed-up <strong>for</strong> 6<br />

months to test the enduring effects of the intervention.”<br />

Blinding (per<strong>for</strong>mance bias and detection<br />

bias)<br />

All outcomes<br />

Incomplete outcome data (attrition bias)<br />

All outcomes<br />

Unclear risk “All assessments were conducted by members of the research<br />

staff via individual telephone interviews.”<br />

High risk Description: 25/68 (37%) participants in treatment arm lost<br />

to follow-up and 11/56 (20%) participants in the comparator<br />

group lost to follow-up<br />

Reason <strong>for</strong> missing data reported: yes, but not in sufficient detail:<br />

“the most frequent reason <strong>for</strong> dropping out of control group was<br />

difficulty scheduling appointments, whereas the most frequent<br />

reasons <strong>for</strong> dropping out of the treatment group were death of<br />

spouse or perception of lack of need <strong>for</strong> intervention.”<br />

Missing data balanced between groups: no<br />

Statistical methods used to deal with missing data: none<br />

Judgement: difference in means among missing outcomes<br />

enough to induce clinically relevant bias in observed effect size<br />

Selective reporting (reporting bias) Low risk All study’s pre-specified outcomes have been reported<br />

<strong>Non</strong>-<strong>pharmacological</strong> <strong>interventions</strong> <strong>for</strong> <strong>caregivers</strong> of stroke survivors (Review)<br />

Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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