Chande 1994.
Methods | DETAILS OF STUDY AIM OF INTERVENTION: to improve parental compliance with primary care follow‐up. AIM OF STUDY: It was hypothesized that physician initiated follow‐up phone calls to parents of moderately ill children seen in the pediatric emergency department would improve parental compliance with primary care follow‐up. STUDY DESIGN: CCT. METHODS OF RECRUITMENT OF PARTICIPANTS: unclear. INCLUSION CRITERIA FOR PARTICIPATION IN STUDY: patients between 6 months and 8 years of age treated as outpatients in the pediatric emergency department for pneumonia or croup or asthma or bronchiolitis or vomiting or fever eci or fever > 39.5 or seizure with fever/ having telephone, EXCLUSION CRITERIA FOR PARTICIPATION IN STUDY: not specified, INFORMED CONSENT OBTAINED? unclear. ETHICAL APPROVAL? yes. FUNDING: unclear. ASSESSMENT OF STUDY QUALITY ALLOCATION CONCEALMENT: unclear. EPOC‐ QUALITY CRITERIA 2002: C.high risk of bias. METHOD OF GENERATING RANDOMISATION SCHEDULE: not specified. METHOD OF CONCEALMENT OF ALLOCATION: not specified. BLINDING: ·PARTICIPANTS: no. ·PROVIDER/S: no. ·OUTCOME ASSESSOR/S: yes. INTENTION TO TREAT ANALYSIS: not stated. BASELINE COMPARABILITY OF INTERVENTION AND CONTROL GROUPS: not stated. STATISTICAL METHODS AND THEIR APPROPRIATENESS: chi‐square. CONSUMER INVOLVEMENT: not stated. |
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Participants | DESCRIPTION : ED patients / pediatric patients. GEOGRAPHIC LOCATION: USA. SETTING: discharged home from an acute care setting. NUMBER OF PARTICIPANTS: ELIGIBLE: 305. RANDOMISED TO INTERVENTION: 133. RANDOMISED TO CONTROL: 132 ‐ ‐ . INCLUDED IN ANALYSIS INTERVENTION GROUP: 133. INCLUDED IN ANALYSIS CONTROL GROUP: 132 ‐ ‐ . AGE: RANGE OR MEAN (SD): 3.2 (2.3). GENDER (% MALE): 63. ETHNICITY: 83% afro‐american. PRINCIPAL HEALTH PROBLEM OR DIAGNOSIS:pneumonia or croup or asthma or bronchiolitis or vomiting or fever eci or fever > 39.5 or seizure with fever OTHER HEALTH PROBLEM/S: unclear. TREATMENT RECEIVED/RECEIVING: unclear. OTHER SOCIAL/DEMOGRAPHIC DETAILS: 70.5% on medical assistance insurance; 2.3% had no primary care physician. |
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Interventions | DETAILS OF INTERVENTION: families in the intervention group were called by a physician within 12‐30 hours after discharge. At that time they were reminded to fill their prescriptions, to call their regular doctors, and to follow‐up any other specific instructions that had been documented on the discharge sheet. Parents were also given the opportunity to ask questions about other issues related to their child's health. DETAILS OF CONTROL: usual care. CO‐INTERVENTION? no. DETAILS OF CO‐INTERVENTIONS: usual care. DELIVERY OF INTERVENTION Frequency: 1. First time at day 1‐2 after discharge. Period: PROVIDERS: physician. INTERVENTION QUALITY: unclear. FIDELITY/INTEGRITY: unclear. |
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Outcomes | NUMBER OF OUTCOMES: 1 OUTCOME / TOOL / TOOL VALIDATED / METHOD OF ASSESSMENT / TIME OF ASSESSMENT A.Psycho‐social health of patients (uncertainty, anxiety, informational needs, mood, coping, quality of life, social activity, ..): B.Physical health of patients (eg. functional status, self‐care, self‐efficacy, independence, ..): C.Other consumer oriented outcomes (eg. treatment adherence, knowledge, adverse events, ..): compliance / self‐developed / no / telephone interview / 10‐20 days after discharge. D. Health service delivery oriented outcomes (eg. hospital readmission, health services utilization, ..): |
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Notes | ·CHANGES IN TRIAL PROTOCOL ·CONTACT WITH AUTHOR ·POWER CALCULATION? ·RECORD IF THE STUDY WAS TRANSLATED FROM A LANGUAGE OTHER THAN ENGLISH. ·RECORD IF THE STUDY WAS A DUPLICATE PUBLICATION. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | B ‐ Unclear |