Methods | RCT Length of follow‐up: 2.25 months (9 weeks) |
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Participants | Infected children identified by screening Number analysed for primary outcome: 103 Age range: 9 to 12 years Inclusion criteria: children from 3 schools in Mandeville; Trichuris egg counts > 1900, but low hookworm counts on 2 occasions before the trial separated by 3 months Exclusion criteria: twins; severe illness; physical handicaps; neurological disorders |
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Interventions | Single dose vs placebo
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Outcomes | Cognitive tests: digit span forwards/backwards; arithmetic and coding from Wechsler Intelligence Scale for Children; fluency and listening comprehension from the Clinical Evaluation of Language functions; and matching familiar figures test. Not included in review: stool egg counts at baseline and 10 days (prevalence and arithmetic mean); height and weight (expressed as % NCHS standard) iron status; school attendance; IQ; socioeconomic status; educational opportunity measures at baseline. Outcomes not reported: nutritional outcomes at 9 weeks cited as too short a follow‐up period to demonstrate a change;school attendance only measured at baseline. |
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Notes | Location: Jamaica Community category: 1 There was an infected placebo group and an "uninfected control group" Source of funding not reported. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "Randomly assigned"; no further details reported. |
Allocation concealment (selection bias) | Unclear risk | No details reported. |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | No details reported. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 73% (103/140) of randomized participants were evaluated. Inclusion of all randomized participants (number evaluable/number randomized): 73% (103/140). |
Selective reporting (reporting bias) | Unclear risk | Pyschometric tests reported; other outcomes such as nutrition not reported. |
Other bias | Low risk | No obvious other source of bias. |