Kokubu 2000.
Methods | RCT, patient recruitment: patients from hospital (n = 17) Setting: hospital and patients' home, Japan |
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Participants |
Control patients: n = 34, women: 56%, mean age: 47.3, asthma severity: not reported, FEV1: not reported, ICS use: not reported Intervention patients: n = 32, women: 62%, mean age: 49.9, asthma severity: not reported, FEV1: not reported, ICS use: not reported |
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Interventions |
Name and duration of programme: asthma telemedicine system, during 6 months Intervention group components Organisational ‐ patients: structured follow‐up; telephone hotline Organisational ‐ healthcare professionals or system: explicit teamwork between healthcare providers; fax sent to physician; information technology Patient education: one on one educational phone calls on asthma and management of the disease Self‐management support: providing an action plan; regular checks of inhalation technique Frequency: not clear Healthcare professionals involved: pulmonary care physicians; respiratory care nurses Control group components Usual care Number of components and dominant component: 8, organisational ‐ healthcare professionals or system |
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Outcomes |
Organisational level Process: mean inhaled corticosteroid dose (puff/day) Healthcare utilisation: hospitalisation rate (hospitalisation/patient/6 months); night ER visits rate; daytime ER visits rate Costs: direct and indirect cost savings Patient level Patient satisfaction: satisfaction survey Quality of life: improvement in QoL score Asthma symptoms and activity level: mean inhaled ß2‐agonists dose (puff/day); mean oral corticosteroid dose (tab/day) Self‐management: compliance with prescribed inhaled corticosteroids; compliance with oral corticosteroids; compliance with daily PEF measurements Pulmonary function: mean PEF Time of outcome measurement: at 6 months |
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Notes | We only used the data presented in the primary reference for the study | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Telephone registration randomisation |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not clear in the article |
Selective reporting (reporting bias) | Unclear risk | No protocol |
Other bias | Unclear risk | No other bias detected |
Outcomes at baseline similar? | Low risk | No significant differences (see table 3 in the article) |
Characteristics at baseline similar? | Low risk | No significant differences (see table 3 in the article) |
Adequate protection against contamination? | Low risk | Unlikely |