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. 2015 May 27;2015(5):CD007988. doi: 10.1002/14651858.CD007988.pub2

Kokubu 2000.

Methods RCT, patient recruitment: patients from hospital (n = 17)
Setting: hospital and patients' home, Japan
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
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
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
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