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. 2017 Mar 13;2017(3):CD012286. doi: 10.1002/14651858.CD012286.pub2

Nahafizadeh 2010.

Study characteristics
Methods Design: parallel‐group randomised controlled trial; blinding not stated
Duration: 2 months
Setting: "outpatients", Iran
Trial registration: not reported
Participants Population: 46 people with asthma randomised to inhaler technique education (n = 25) or no education/usual care (n = 20)
Age: mean age (SD) across both group 48 (13) years
Baseline asthma severity: "According to ACT score, none of patients were in complete asthma control at the beginning"
Inclusion criteria: not reported
Exclusion criteria: not reported
Percentage withdrawn: not reported
Other allowed medication: not reported
Interventions Intervention summary: face‐to‐face education about proper use of inhalers (no further details)
Control summary: usual care (no further details)
Outcomes Outcomes measured: asthma control (ACT) and FEV1
Technique assessment method used: inhaler technique not reported
Notes Type of publication: conference abstract
Funding: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "randomly placed"; no further details
Allocation concealment (selection bias) Unclear risk No details
Blinding of participants and personnel (performance bias)
All outcomes High risk No description of procedures intended to blind participants or personnel to group assignment
Blinding of outcome assessment (detection bias)
All outcomes High risk No description of procedures intended to blind outcome assessors to group assignment; for patient‐reported outcomes, such as ACT, participant was the outcome assessor
Incomplete outcome data (attrition bias)
All outcomes Low risk No description of drop‐outs but numbers reported and related percentages suggest that only 1 person did not complete the study
Selective reporting (reporting bias) Unclear risk No prospective trial registration identified. Minimal details, as reported as conference abstract only. Unclear how "complete control" is defined. Unclear how many participants were included in the analyses at each time point
Other bias Low risk None noted