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. 2015 Feb 25;2015(2):CD007897. doi: 10.1002/14651858.CD007897.pub3

Åhman 2000.

Methods Controlled before‐after study
Participants Pupils and personnel at 2 schools in Sweden
 337 pupils and 34 personnel in the intervention school and 224 and 21 personnel in the control school
Interventions A new ventilated floor was installed and water damaged wallboards were exchanged
Outcomes Participants: physical and psycho‐social school environment parameters
Frequency of irritating symptoms including respiratory symptoms
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not blinded
Unplanned subgroup analyses (16) Low risk No unplanned subgroup analyses
Follow‐up (17) Unclear risk Follow‐up time 7 months
Compliance (19) Low risk Compliance was reliable
Valid outcome measures (20) Unclear risk Subjective symptoms
Selection bias (population) (21) Low risk "These two schools (intervention school and the control school) were the only compulsory schools in this suburb, which had an even distribution of social factors, such as gender, immigrants and type of dwellings."
Selection bias (time) (22) Low risk The intervention and control group were interviewed at the same time
Random sequence generation (selection bias) High risk Not randomised
Allocation concealment (selection bias) High risk Not concealed
Adjustment for confounding (25) Low risk Distribution of known confounders in the intervention and control group was described
Incomplete outcome data (26) (attrition bias) Low risk Results were presented only for those who participated in both pre‐ and post‐intervention interviews

cRCT = cluster‐randomised controlled trial
 HVAC = heating ventilation and air‐conditioning
 RCT = randomised controlled trial
 SF‐36 = short‐form health survey