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

Morice 2001.

Methods STUDY DESIGN: Parallel group trial 
 LOCATION, NUMBER OF CENTRES: UK, large teaching hospital 
 DURATION OF STUDY: 18 months 
 DESCRIPTION OF WITHDRAWALS/DROPOUTS: 10 out of 40 in the control group and 5 out of 40 in the intervention group did not return responded to the questionnaire 
 TYPE OF ANALYSIS (AVAILABLE CASE/TREATMENT RECEIVED/ ITT): Intention‐to‐treat analysis 
 COMPLIANCE: Not assessed 
 CONFOUNDERS: Not mentioned
Participants N SCREENED: 80 
 N RANDOMISED: 80 
 N COMPLETED (at 6 months): 65 
 M = 53 
 F = 27 
 MEAN AGE: 36.1 years 
 CHARACTERISTICS: Prior use of ICS at 1 mg: 47.5% 
 INCLUSION CRITERIA: admitted on the general medical take to a large teaching hospital with a documented primary diagnosis of acute asthma EXCLUSION CRITERIA: chronic obstructive respiratory disease, previously participated in an educational programme from a hospital‐based asthma nurse, unable or unwilling to complete a series of follow‐up questionnaires
Interventions Education group: subsequent visits of the asthma nurse until discharge from hospital. A minimum of 2 sessions of 30 minutes each; 1)discussion about mechanisms, triggers and booklet 2) summary of first session, self‐management plan peak flow meter+instructions and Sheffield Asthma Card with emergency phone numbers and, 3) last visit where patients were encouraged to express fears or anxieties related to their home management
Control group: usual care
Both groups: seen by the asthma nurse as a single interviewer within 48 hours of admission
FOLLOW‐UP PERIOD: 18 months
Outcomes Preferred action taken on worsening of asthma symptoms (GP urgent visits, GP call‐outs, accident and emergency visits, re‐admissions); withdrawal/loss to follow up
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Information not available
Allocation concealment (selection bias) Unclear risk Information not available
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Study participants aware as to treatment group assignment
Information on blinding of outcome assessors not clear
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 10 out of 40 in the control group and 5 out of 40 in the intervention group did not return responded to the questionnaire. Analysis described as intention‐to‐treat.
Selective reporting (reporting bias) Low risk Review primary outcome measured, analysed and disclosed in full.
Other bias Low risk No other sources of bias could be identified.