Protopopoff 2018.
Methods | Cluster‐randomized controlled village trial | |
Participants | 3966 children analysed (21 months after intervention) aged 6 months‐14 years (excluding the severely ill), Anopheles species (pooled). Total core cluster population area ranged from 14,845 to 16,358. | |
Interventions | Control: LLIN, Olyset Net Intervention: LLIN, Olyset Plus |
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Outcomes | Malaria infection prevalence, sporozoite rate, mosquito density | |
Mosquito resistance status | Resistance ‐ high (17.8% mortality, N = 107) | |
Net treatment | Nets unholed and unwashed | |
Location(s) | Muleba District, Tanzania | |
Notes | Trial conducted: March 2014‐December 2016 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Recruitment bias | Low risk | No participants recruited after clusters had been randomized |
Were the mosquitoes in LLIN and LLIN + PBO groups comparable | Unclear risk | Resistance level was only available for the whole district, not at village level. |
Collectors blinded | Low risk | Field workers were masked to net treatment. |
Household blinded | Low risk | Inhabitants were masked to net treatment |
Treatment allocation (was the treatment allocation sequence randomly/adequately generated | Low risk | Restricted randomization was used to allocate clusters to the study groups. |
Allocation concealment (selection bias) | Low risk | Restricted randomization was used to allocate treatments to clusters |
Were incomplete outcome data adequately addressed | Low risk | No incomplete outcome data |
Were the raw data reported for LLIN and LLIN + PBO groups | Low risk | No missing outcome data |
Clusters lost to follow‐up | Low risk | No clusters lost to follow‐up |
Selective reporting (reporting bias) | Low risk | All measured outcomes appear to be reported |
Correct statistical methods; adjusted for clustering | Low risk | Clustering was taken into account and adjusted for during statistical analysis |
Trial authors' conflicting interest | Low risk | The trial authors declared no conflicting interests. |