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

Tarsin 2008.

Study characteristics
Methods Design: parallel‐group randomised controlled trial; blinding not stated
Duration: 4 weeks
Setting: Tripoli, Libya. Setting not reported
Trial registration: not reported
Participants Population: 76 people with asthma randomised to face‐to‐face verbal training + 2Tone training aid (n = 26) or face‐to‐face verbal training alone (n = 25) (those with correct MDI technique were used as a control group; others were randomised to 2 training groups relevant to this review)
Age: not reported
Baseline asthma severity: not reported
Inclusion criteria: patients with asthma using MDI
Exclusion criteria: not reported
Percentage withdrawn: not reported
Other allowed medication: not reported
Interventions Intervention summary: face‐to‐face verbal training + 2Tone training aid (no further details)
Control summary: face‐to‐face verbal training alone (no further details)
Outcomes Outcomes measured: inhalation flow rate, FEV1, Jones Morbidity Index (JMI) and Juniper AQLQ
Technique assessment method used: inhalation flow rate through MDI
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 Described as 'randomised' but no details of sequence generation
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 participants or personnel to group assignment; for patient‐reported outcomes, such as QOL, the participant was the outcome assessor
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Drop ‐out not reported
Selective reporting (reporting bias) High risk No prospective trial registration identified. Minimal details reported as conference abstract only
Other bias Low risk None noted