Chan 2006a.
Methods | Country: Hong Kong, China Setting: hospital (paediatric wards and outpatient departments) RCT | |
Participants | 1483 mothers of sick children admitted to the ward or attending the outpatient department from all participating trial centres, November 1997 to September 1998 | |
Interventions | Intervention: Mothers received information from nurses including standardised health advice, booklet about preventing child exposure to passive smoking, booklet to give to fathers on quitting smoking, a no smoking sign to place in the home to remind the father not to smoke, and a telephone reminder 1 week later. Control: normal care by nurses | |
Outcomes | 3‐, 6‐, and 12‐month follow‐up: • Mother self‐reports actions taken to reduce child passive smoke exposure. | |
Type of intervention | Child with health problems (ill‐child health care) | |
Notes | Retention: 1273/1483 (86%) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Random numbers were generated by the investigator using the computer and assigned to intervention (even) and control (odd) groups." |
Allocation concealment (selection bias) | Low risk | "Nurses then randomized the subjects into the intervention or control group by opening a sealed envelope with serial numbers." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Low loss to follow‐up, ITT analysis used, similar percentage lost in both groups: 86% intervention and 85% control retention |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Self‐report only; differential misreport possible, but no difference found between groups, so unlikely |
Other bias | High risk | Contamination of the control group possible: open ward setting "...the mothers in the control group could have by chance read the health education booklet from the mothers in the intervention group... furthermore, the nurses' health education could be easily overheard." |