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. 2006 Oct 18;2006(4):CD004510. doi: 10.1002/14651858.CD004510.pub3

Mohan 1999.

Methods DETAILS OF STUDY
AIM OF INTERVENTION: to enhance compliance with the use of the home apnea monitor for infants discharged on an apnea monitor.
AIM OF STUDY: this study was designed to test whether weekly telephone contact with a health professional would improve the use of the home apnea monitor.
STUDY DESIGN: RCT.
METHODS OF RECRUITMENT OF PARTICIPANTS: all infants discharged on apnea monitor during a 1.5 year period, were eligible for this study.
INCLUSION CRITERIA FOR PARTICIPATION IN STUDY: preterm infants with abnormal pneumocardiogram, patients with bronchopulmonary disease requiring oxygen support/ siblings of a sudden infant death syndrome victim, others infants with various pulmonary, cardiac or neurologic problems.
EXCLUSION CRITERIA FOR PARTICIPATION IN STUDY: not specified.
INFORMED CONSENT OBTAINED? yes.
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: stratified balanced block technique.
METHOD OF CONCEALMENT OF ALLOCATION: unclear.
BLINDING: 
 ·PARTICIPANTS: no. 
 ·PROVIDER/S: no. 
 ·OUTCOME ASSESSOR/S: yes.
INTENTION TO TREAT ANALYSIS: not stated.
BASELINE COMPARABILITY OF INTERVENTION AND CONTROL GROUPS: yes.
STATISTICAL METHODS AND THEIR APPROPRIATENESS: t‐test/Mann‐Whitney U‐test/chi‐square.
CONSUMER INVOLVEMENT: not stated.
Participants DESCRIPTION: pediatric patients.
GEOGRAPHIC LOCATION: USA.
SETTING: discharged home from an acute care setting.
NUMBER OF PARTICIPANTS: 
 ELIGIBLE: 69. 
 RANDOMISED TO INTERVENTION: 30. 
 RANDOMISED TO CONTROL: 32. 
 INCLUDED IN ANALYSIS INTERVENTION GROUP: 30. 
 INCLUDED IN ANALYSIS CONTROL GROUP: 32.
AGE: RANGE OR MEAN (SD): 0.5 in infants/ 25 years in mothers.
GENDER (% MALE): not stated.
ETHNICITY: not stated.
PRINCIPAL HEALTH PROBLEM OR DIAGNOSIS: preterm infants with abnormal pneumocardiogram, patients with bronchopulmonary disease requiring oxygen support/ siblings of a sudden infant death syndrome victim, others infants with various pulmonary, cardiac or neurologic problems.
OTHER HEALTH PROBLEM/S: unclear.
TREATMENT RECEIVED/RECEIVING:
OTHER SOCIAL/DEMOGRAPHIC DETAILS: 50% of mothers married.
Interventions DETAILS OF INTERVENTION: above the care comparable to the control group, patients in the experimental group received an additional phone call consisting of a structured interview every week for a total of 8 weeks. The questionnaire addressed the use of monitors and the well‐being of the baby, including any need for an office visit or hospitalisation.
DETAILS OF CONTROL: care for all groups: access to a physician in the neonatal intensive care unit at all times, initial instruction as well as support 24 hours per day from the monitor vending company, follow‐up visits with a neonatologist or pediatrician within 2 weeks of discharge and about every month for the next 3 months and most infants had 1‐3 visits by a home nurse in the first 2 weeks following discharge.
CO‐INTERVENTION? yes.
DETAILS OF CO‐INTERVENTIONS: see control intervention.
DELIVERY OF INTERVENTION: 
 Frequency: 8. 
 First time at day 7 after discharge. 
 Period: 8 weeks.
PROVIDERS: unclear, probably physician.
INTERVENTION QUALITY: unclear.
FIDELITY/INTEGRITY: unclear.
Outcomes NUMBER OF OUTCOMES: 2
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, ..): Satisfaction / self‐developed / partly, adopted from Gerard and Peterson's cardiac patient learning needs inventory / unclear / unclear, but in first month after discharge.
B.Physical health of patients (eg. functional status, self‐care, self‐efficacy, independence, ..):
C.Other consumer oriented outcomes (eg. treatment adherence, knowledge, adverse events, ..): Knowledge / self‐developed: heart disease management questionnaire / partly; Kuder‐Richardson coefficient 0.36 / unclear / unclear, but in first month after discharge.
D. Health service delivery oriented outcomes (eg. hospital readmission, health services utilization, ..):
Notes ·CHANGES IN TRIAL PROTOCOL
·CONTACT WITH AUTHOR
·POWER CALCULATION? yes.
·RECORD IF THE STUDY WAS TRANSLATED FROM A LANGUAGE OTHER THAN ENGLISH.
·RECORD IF THE STUDY WAS A DUPLICATE PUBLICATION.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear