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. 2002 Jul 22;2002(3):CD001117. doi: 10.1002/14651858.CD001117

Garret 1994.

Methods DESIGN: Randomised Controlled Trial. 
 METHOD OF RANDOMISATION: randomised. 
 METHOD OF ALLOCATION CONCEALMENT: closed envelope technique. 
 OUTCOME ASSESSOR BLINDING: outcome assessors were blinded. 
 WITHDRAWAL/DROPOUTS: all subjects accounted for.
Participants Eligible: 980 
 Randomised: 500: Intervention 251; Control 249. 
 Completed: 451 
 Age: 2‐5 years: Intervention 25% Control 26%. 6‐14 years:Intervention 19% Control 21%. 15‐29 years Intervention 30% Control 32%. 30‐55 years: Intervention 25% Control 21%. 
 Sex: Male / Female Intervention 38/62% Control 46/54% 
 Asthma Diagnosis: Doctor's diagnosis 
 Recruitment: Emergency Room Attenders (whether hospitalisation was required or not) 
 Diseases Included: not stated 
 Major exclusions: not stated 
 Baseline: 
 FEV1: not stated 
 PEF: not stated 
 Exacerbations: not stated
Interventions Setting: Community Education Centre. 
 Type: Education, self‐monitoring of symptoms and peak flow, regular review (advised to seek regular review from their GP). 
 Participants were advised to obtain a written action plan from their GP which allowed self adjustment of medications in the event of worsening asthma but as this was not a part of the intervention, it was not characterised as Optimal Self Management but Self Monitoring and Regular Review. 
 Duration: Not stated
Outcomes Hospital admissions, ER visits, Unscheduled doctor visits, days lost from work or school, nocturnal awakening, asthma status (same worse better), PEF variability, Symptoms, dyspnoea on exercise.
Notes Only about 60% of data refers to adults.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk Study investigators unaware as to order of treatment group assignment (Cochrane Grade A)