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. 2007 Jul 18;2007(3):CD003000. doi: 10.1002/14651858.CD003000.pub2

Baren 2001.

Methods STUDY DESIGN: Parallel group
LOCATION, NUMBER OF CENTRES: North America, single centre.
DURATION OF STUDY: 8 weeks
COMPLIANCE: Not assessed
CONFOUNDERS: Even distribution between groups in terms of baseline lung function, age, sex and maintenance therapies.
Participants N SCREENED: 197
N RANDOMISED: 192
N COMPLETED: 178
M = 64/F = 128
MEAN AGE: 31
BASELINE DETAILS: Ethnicity: Asian: 7; Black: 146; Hispanic: 3; White: 18; Insurance: Government/HMO: 40%; Government/military: 4%; HMO: 22%; Private: 22%; None: 13%. PEFR: 246 l/min; respiratory rate: 21.3; Inhaler use in previous 24 hrs (puffs): 4.7
INCLUSION CRITERIA: Aged between 16‐46 years; attendance at emergency department with symptoms of acute asthma
EXCLUSION: Admission to hospital; unable to speak English; unwilling/unable to provide informed consent
Interventions Education group: On discharge, participants were provided with a pack containing oral steroids, transportation vouchers to attend a primary care follow up; asthma information card; written instructions on use of vouchers and medication. Attempts made to contact all intervention group participants to remind them to attend a primary care follow up.
Control group: Participants discharged with short course of oral steroids; further instructions and medication at discretion of discharging physician
FOLLOW‐UP PERIOD: Participants were followed up for two months.
Outcomes Scheduled attendance at primary care physician/clinic; relapse (re‐presentation at ED within 21 days of discharge); withdrawal/loss to follow‐up.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated block randomisation schedule
Allocation concealment (selection bias) Low risk Prepared by third party.
'Study packages were prepared and sealed by 2 investigators not involved in patient enrolment.'
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Study participants aware of treatment group assignment.
Information on study outcome assessor blinding not available.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Differential loss to follow‐up. 11/93 in control group withdrew versus 3/94 in intervention group.
Selective reporting (reporting bias) Unclear risk Could not determine this reliably
Other bias Low risk No other sources of bias could be identified.